The goal of this paper is to develop a systematic taxonomy of cognitive artifacts, i.e., human-made, physical objects that functionally contribute to performing a cognitive task. First, I identify the target domain by conceptualizing the category of cognitive artifacts as a functional kind: a kind of artifact that is defined purely by its function. Next, on the basis of their informational properties, I develop a set of related subcategories in which cognitive artifacts with similar properties can be grouped. In this (...) taxonomy, I distinguish between three taxa, those of family, genus, and species. The family includes all cognitive artifacts without further specifying their informational properties. Two genera are then distinguished: representational and non-representational (or ecological) cognitive artifacts. These genera are further divided into species. In case of representational artifacts, these species are iconic, indexical, or symbolic. In case of ecological artifacts, these species are spatial or structural. Within species, token artifacts are identified. The proposed taxonomy is an important first step towards a better understanding of the range and variety of cognitive artifacts and is a helpful point of departure, both for conceptualizing how different artifacts augment or impair cognitive performance and how they transform and are integrated into our cognitive system and practices. (shrink)

This entry offers a critical overview of the contemporary literature on understanding, especially in epistemology and the philosophy of science.

This paper analyzes epistemological and ontological dimensions of Human-Computer Interaction (HCI) through an analysis of the functions of computer systems in relation to their users. It is argued that the primary relation between humans and computer systems has historically been epistemic: computers are used as information-processing and problem-solving tools that extend human cognition, thereby creating hybrid cognitive systems consisting of a human processor and an artificial processor that process information in tandem. In this role, computer systems extend human cognition. Next, (...) it is argued that in recent years, the epistemic relation between humans and computers has been supplemented by an ontic relation. Current computer systems are able to simulate virtual and social environments that extend the interactive possibilities found in the physical environment. This type of relationship is primarily ontic, and extends to objects and places that have a virtual ontology. Increasingly, computers are not just information devices, but portals to worlds that we inhabit. The aforementioned epistemic and ontic relationships are unique to information technology and distinguish human-computer relationships from other human-technology relationships. (shrink)

According to the cognitive model of psychopathology, maladaptive beliefs about oneself, others, and the world are the main factors contributing to the development and persistence of various forms of mental suffering. Therefore, the key therapeutic process of Cognitive Behavioral Therapy (CBT)—a therapeutic approach rooted in the cognitive model—is cognitive restructuring, i.e., a process of revision of such maladaptive beliefs. In this paper, I examine the philosophical assumptions underlying CBT and offer theoretical reasons to think that the effectiveness of belief revision (...) in psychotherapy is very limited. This is the case, I argue, because the cognitive model wrongly assumes that our body of beliefs is unified, while it is in fact fragmented. (shrink)

Growing demand for broadly accessible mental health care, together with the rapid development of new technologies, trigger discussions about the feasibility of psychotherapeutic interventions based on interactions with Conversational Artificial Intelligence (CAI). Many authors argue that while currently available CAI can be a useful supplement for human-delivered psychotherapy, it is not yet capable of delivering fully fledged psychotherapy on its own. The goal of this paper is to investigate what are the most important obstacles on our way to developing CAI (...) systems capable of delivering psychotherapy in the future. To this end, we formulate and discuss three challenges central to this quest. Firstly, we might not be able to develop effective AI-based psychotherapy unless we deepen our understanding of what makes human-delivered psychotherapy effective. Secondly, assuming that it requires building a therapeutic relationship, it is not clear whether psychotherapy can be delivered by non-human agents. Thirdly, conducting psychotherapy might be a problem too complicated for narrow AI, i.e., AI proficient in dealing with only relatively simple and well-delineated tasks. If this is the case, we should not expect CAI to be capable of delivering fully-fledged psychotherapy until the so-called “general” or “human-like” AI is developed. While we believe that all these challenges can ultimately be overcome, we think that being mindful of them is crucial to ensure well-balanced and steady progress on our path to AI-based psychotherapy. (shrink)

According to Russell and Norvig’s (2009) classification, Artificial Intelligence (AI) is the field that aims at building systems which either think rationally, act rationally, think like humans, or...

In their thought-provoking article, Sedlakova and Trachsel (2023) defend the view that the status—both epistemic and ethical—of Conversational Artificial Intelligence (CAI) used in psychotherapy is complicated. While therapeutic CAI seems to be more than a mere tool implementing particular therapeutic techniques, it falls short of being a “digital therapist.” One of the main arguments supporting the latter claim is that even though “the interaction with CAI happens in the course of conversation… the conversation is profoundly different from a conversation with (...) a human therapist” (Sedlakova and Trachsel 2023, 8). In particular, unlike a human therapist, CAI cannot help its users gain new insight and self-understanding (Sedlakova and Trachsel 2023). We agree that currently available therapeutic CAI cannot be considered a “digital therapist,” however, we think that the issue surrounding the acquisition of new self-understanding in the interaction with therapeutic CAI is more complicated than Sedlakova and Trachsel suggest. (shrink)

The main goal of this paper is to investigate whether humans are unique in using tools and artifacts. Non-human animals exhibit some impressive instances of tool and artifact-use. Chimpanzees use sticks to get termites out of a mound, beavers build dams, birds make nests, spiders create webs, bowerbirds make bowers to impress potential mates, etc. There is no doubt that some animals modify and use objects in clever and sophisticated ways. But how does this relate to the way in which (...) humans make and use objects to achieve their goals? To answer this question, this paper first presents a taxonomy of artifacts, identifying four overlapping categories, namely embodied, perceptual, cognitive, and affective artifacts. It then discusses definitions of animal tool-use, arguing that we need a more liberal approach, one that goes beyond the use of tools that are embedded in occurrent perception-action cycles. This paper ends by analysing how instances of animal tool and artifact-use can be classified according to the four identified categories, concluding that some animals use embodied, perceptual, cognitive, and affective artifacts. In this sense, humans are thus not unique in the kinds of tools and artifacts we use. What is unique, however, is our unprecedented flexibility and openness to deeply incorporate a large variety of complex tools and artifacts into our embodied, perceptual, cognitive, and affective systems. (shrink)

It is a truth universally known but not oft discussed that a journal article is often a fragment of a larger series of thoughts, or a longer piece of work. In entering into dialogue with Gaab and Bamboulis and Bortolotti, I will briefly describe the context of this paper, in the hopes that it will clarify my commitments and wider thinking on this area.This paper isolates one thread of my doctoral dissertation evaluating what I take to be two central theoretical (...) claims of CBT: first, that mental illness is related to patterns of thought with epistemic issues and secondly, that CBT works through rectifying these epistemic issues. In the broader work I argue that over time, because psychotherapy has... (shrink)

Grief is, and has always been, technologically supported. From memorials and shrines to photos and saved voicemail messages, we engage with the dead through the technologies available to us. As our technologies evolve, so does how we grieve. In this paper, we consider the role chatbots might play in our grieving practices. Influenced by recent phenomenological work, we begin by thinking about the character of grief. Next, we consider work on developing “continuing bonds” with the dead. We argue that for (...) some, chatbots may play an important role in establishing these continuing bonds by helping us develop what we term “habits of intimacy”. We then turn to the “ick factor” some may feel about this prospect, focusing especially on ethical concerns raised by Patrick Stokes and Adam Buben about the risk of replacing our dead with chatbots. We argue that replacement worries are not as pressing as Stokes and Buben suggest. We resist these replacement worries by appealing to the “thin reciprocity”, as we refer to it, that such bots offer, as well as the fictionalist stance that we think users of the bots adopt when engaging with them. We conclude by briefly raising some additional concerns and highlighting future research questions. (shrink)

Conversational artificial intelligence (CAI) presents many opportunities in the psychotherapeutic landscape—such as therapeutic support for people with mental health problems and without access to care. The adoption of CAI poses many risks that need in-depth ethical scrutiny. The objective of this paper is to complement current research on the ethics of AI for mental health by proposing a holistic, ethical, and epistemic analysis of CAI adoption. First, we focus on the question of whether CAI is rather a tool or an (...) agent. This question serves as a framework for the subsequent ethical analysis of CAI focusing on topics of (self-) knowledge, (self-)understanding, and relationships. Second, we propose further conceptual and ethical analysis regarding human-AI interaction and argue that CAI cannot be considered as an equal partner in a conversation as is the case with a human therapist. Instead, CAI’s role in a conversation should be restricted to specific functions. (shrink)

Can humans and artificial intelligences share concepts and communicate? Making AI Intelligible shows that philosophical work on the metaphysics of meaning can help answer these questions. Herman Cappelen and Josh Dever use the externalist tradition in philosophy to create models of how AIs and humans can understand each other. In doing so, they illustrate ways in which that philosophical tradition can be improved. The questions addressed in the book are not only theoretically interesting, but the answers have pressing practical implications. (...) Many important decisions about human life are now influenced by AI. In giving that power to AI, we presuppose that AIs can track features of the world that we care about (for example, creditworthiness, recidivism, cancer, and combatants). If AIs can share our concepts, that will go some way towards justifying this reliance on AI. This ground-breaking study offers insight into how to take some first steps towards achieving Interpretable AI. (shrink)

This paper seeks to develop a phenomenological account of the disorientation of grief, specifically the relationship between disorientation and the breakdown in practical self-understanding at the heart of grief. I argue that this breakdown cannot be sufficiently understood as a breakdown of formerly shared practices and habitual patterns of navigating lived-in space that leaves the bereaved individual at a loss as to how to go on. Examining the experience of losing a loved person and a loved person-to-be, I instead propose (...) that this breakdown should be understood primarily in relation to a distinctive kind of futurity operative in disorientation,irrespectiveof the extent to which there is a breakdown of formerly shared practices and habitual patterns of navigating lived-in space. Drawing on the resources afforded by Heidegger’s phenomenology, I argue that it is acore characteristicof the experience of disorientation in grief that the grieving person can no longer meaningfully press ahead into aspecific futural self. This view comes with certain advantages over existing accounts of the temporality of grief for making sense of the disorientated relationship to futurity, which the appeal to Heideggerian resources makes possible. (shrink)

The primary goal of this essay is to provide a comprehensive overview and analysis of the various relations between material artifacts and the embodied mind. A secondary goal of this essay is to identify some of the trends in the design and use of artifacts. First, based on their functional properties, I identify four categories of artifacts co-opted by the embodied mind, namely (1) embodied artifacts, (2) perceptual artifacts, (3) cognitive artifacts, and (4) affective artifacts. These categories can overlap and (...) so some artifacts are members of more than one category. I also identify some of the techniques (or skills) we use when interacting with artifacts. Identifying these categories of artifacts and techniques allows us to map the landscape of relations between embodied minds and the artifactual world. Second, having identified categories of artifacts and techniques, this essay then outlines some of the trends in the design and use of artifacts, focussing on neuroprosthetics, brain-computer interfaces, and personalisation algorithms nudging their users towards particular epistemic paths of information consumption. (shrink)

In this paper I would like to propose the notion of “affective artifact”, building on an analogy with theories of cognitive artifacts and referring to the development of a situated affective science. Affective artifacts are tentatively defined as objects that have the capacity to alter the affective condition of an agent, and that in some cases play an important role in defining that agent’s self. The notion of affective artifacts will be presented by means of examples supported by empirical findings, (...) by discussing a tentative definition and classification, and by considering several related but differing notions. Within the framework of situated affectivity, the notion of affective artifacts will represent a further step in the enterprise of understanding how the environment helps us scaffold our affective processes. I will conclude that affective artifacts play a key role in the philosophy of cognitive science, the philosophy of technology and in the debate about the self. (shrink)

Digital records, from chat transcripts to social media posts, are being used to create chatbots that recreate the conversational style of deceased individuals. Some maintain that this is merely a new form of digital memorial, while others argue that they pose a variety of moral hazards. To resolve this, I turn to classical Chinese philosophy to make use of a debate over the ethics of funerals and mourning. This ancient argument includes much of interest for the contemporary issue at hand, (...) including the use of impersonators of the dead to help the bereaved to deal well with their grief. I connect this historical discussion with a modern trend in clinical psychology that reframes therapeutic interventions with bereaved individuals. The trend directs practitioners away from facilitating detachment and toward affirming continuing bonds. I conclude that these chatbots can offer an important source of support to mourners, but also discuss parameters and features of social context that will be important to avoid the moral hazards identified by sceptics. (shrink)

AbtractTechnologies both new and old provide us with a wide range of cognitive artifacts that change the structure of our cognitive tasks. After a brief analysis of past classifications of these artifacts, I shall elaborate a new way of classifying them developed by focusing on an aspect that has been previously overlooked, namely the possible relationships between these objects and the cognitive processes they involve. Cognitive artifacts are often considered as objects that simply complement our cognitive capabilities, but this “complementary (...) view” seems to be an oversimplification. Assuming an “interaction-centered approach”, this article identifies three essential ways in which cognitive artifacts carry out their function: complementing, constituting and substituting our cognitive processes, and builds a taxonomy of these objects that is grounded on these relations. In so doing, it also addresses the chaotic set of different micro-functions carried out by cognitive artifacts, which have not thus far been dealt with, sorting these functions into three corresponding categories. The second part of the article analyzes in greater detail how cognitive artifacts work in our cognitive life, identifying a new kind of functions, called semi-proper functions, and providing a new definition of cognitive artifact based on the previous analysis of these objects. (shrink)

Despite its complex experiential structure, the phenomenon of grief following bereavement has not been a major topic of phenomenological research. The paper investigates its basic structures, elaborating as its core characteristic a conflict between a presentifying and a ‘de-presentifying’ intention: In grief, the subject experiences a fundamental ambiguity between presence and absence of the deceased, between the present and the past, indeed between two worlds he lives in. This phenomenological structure will be analyzed under several aspects: regarding bodily experience, as (...) disruption of a shared intercorporeality; as a loss of the shared world and shared habitualities, leaving the bereaved person with ubiquitous indications of absence and with a contraction of their own self; regarding temporality, as a separation of two strands of time, namely a still ongoing past and an alienated present which become more and more desynchronized; finally, as an “as-if presence” of the deceased which the bereaved continue to feel and sometimes to perceive, leading to a cognitive-affective conflict between two experienced realities. The transforming process of grief is then analyzed as a gradual adjustment to the loss, finally enabling a re-integration of the conflicting realities. This is achieved through an incorporation and identification with the deceased on the one hand, and through various forms of representation on the other hand, in particular by recollection and symbolization. (shrink)

Cognitive Behavioral Therapy has become the dominant form of psychotherapy in North America. The CBT model is theoretically based on the idea that all external and internal stimuli are filtered through meaning-making, consciously accessible cognitive schemas. The goal of CBT is to identify dysfunctional or maladaptive thoughts and beliefs, and replace them with more adaptive cognitive interpretations. While CBT is clearly effective as a treatment, there is good reason to be skeptical that its efficacy is due to the causal mechanisms (...) posited by the CBT model. This paper will argue that the specific cognitive schemas posited by the CBT model likely do not play a direct role in the development or treatment of psychological illness. Cognitive schemas, as identified in CBT interventions, are likely to be the result of patient confabulation and epistemically under-supported practitioner-based identification. CBT interventions appear to impose coherence on patients’ psychological states, rather than identifying and modifying preexistent causally efficacious core beliefs. (shrink)

Epistemology has for a long time focused on the concept of knowledge and tried to answer questions such as whether knowledge is possible and how much of it there is. Often missing from this inquiry, however, is a discussion on the value of knowledge. In The Value of Knowledge and the Pursuit of Understanding Jonathan Kvanvig argues that epistemology properly conceived cannot ignore the question of the value of knowledge. He also questions one of the most fundamental assumptions in epistemology, (...) namely that knowledge is always more valuable than the value of its subparts. Taking Platos' Meno as a starting point of his discussion, Kvanvig tackles the different arguments about the value of knowledge and comes to the conclusion that knowledge is less valuable than generally assumed. Clearly written and well argued, this 2003 book will appeal to students and professionals in epistemology. (shrink)

This chapter examines two premises of cognitive-behavioral therapy (CBT) - that emotions are caused by beliefs and that those beliefs are represented in the mind as words or images. Being a philosophical examination, the chapter also seeks to demonstrate that these two premises essentially are philosophical premises. The chapter begins with a brief methodological suggestion of how to properly evaluate the theory of CBT. From there it works it way from examining the therapeutic practice of capturing the mental representations that (...) supposedly elicit emotional reactions to examining the assumption that emotions are caused by beliefs. The chapter ends by briefly pointing to some consequences of what has been said to the practice of CBT. (shrink)

Sedlakova and Traschel argue that conversational artificial intelligence (CAI) is more than a mere tool, but not quite an agent, as it “simulates having a therapeutic conversation [but] does not re...

The moral enhancement of human beings is a constant theme in the history of humanity. Today, faced with the threats of a new, globalised world, concern over this matter is more pressing. For this reason, the use of biotechnology to make human beings more moral has been considered. However, this approach is dangerous and very controversial. The purpose of this article is to argue that the use of another new technology, AI, would be preferable to achieve this goal. Whilst several (...) proposals have been made on how to use AI for moral enhancement, we present an alternative that we argue to be superior to other proposals that have been developed. (shrink)

This comprehensive survey of the theories of psychotherapy looks at individual systems of therapy from the systems' theories of personality to their theories of psychopathology and culminating in their theories of the therapeutic process and relationship.

As is widely known, the last 25 years have seen an acceleration in the development of theories of emotion. Perhaps less well-known is that the last three years have seen an extended defense of a predominant, though not universally accepted, framework for the understanding of emotion in philosophy and psychology. The central claim of this framework is that emotions are a form of evaluative response to their intentional objects, centrally involving cognition or something akin to cognition, in which the evaluation (...) of the object relates to the concerns, interests, or well-being of the subject. I aim to summarize and review the work of five authors on three of the central themes of this framework, and to note some implications for the understanding of emotion in different psychotherapeutic approaches. (shrink)

This paper seeks to develop a phenomenological account of the disorientation of grief, specifically the relationship between disorientation and the breakdown in practical self-understanding at the heart of grief. I argue that this breakdown cannot be sufficiently understood as a breakdown of formerly shared practices and habitual patterns of navigating lived-in space that leaves the bereaved individual at a loss as to how to go on. Examining the experience of losing a loved person and a loved person-to-be, I instead propose (...) that this breakdown should be understood primarily in relation to a distinctive kind of futurity operative in disorientation, irrespective of the extent to which there is a breakdown of formerly shared practices and habitual patterns of navigating lived-in space. Drawing on the resources afforded by Heidegger’s phenomenology, I argue that it is a core characteristic of the experience of disorientation in grief that the grieving person can no longer meaningfully press ahead into a specific futural self. This view comes with certain advantages over existing accounts of the temporality of grief for making sense of the disorientated relationship to futurity, which the appeal to Heideggerian resources makes possible. (shrink)

Debates on situated affectivity have mainly focused on tools that exert some positive influence on affective experience. Far less attention has been paid to artifacts that interact with the expression of affect, or to those that exert some negative influence. To shed light on that shadowy corner of our affective social lives, I describe the workings of an atypical socio-affective artifact, namely, sunglasses. Drawing on insights from psychology and other social sciences, I construe sunglasses as a social shield that helps (...) us block spontaneous emotional expressions, as well as affecting other social processes that heavily depend on the eye region: gaze direction detection, identity recognition, and the sense of intimacy afforded by eye contact. (shrink)

The computer is one of the most complex artifacts ever built. Given its complexity, it can be described from many different points of view. The aim of this paper is to investigate the representational structure and multifunctionality of a particular subset of computers, namely personal devices from a user-centred perspective. The paper also discusses the concept of “cognitive task”, as recently employed in some definitions of cognitive artifacts, and investigates the metaphysical properties of such artifacts. From a representational point of (...) view, the article introduces the concepts of artifactual meta-representation and of semi-transparency, two features that personal devices share with some cognitive and non-cognitive artifacts. Recognising the meta-representational nature of personal devices and of other cognitive artifacts, thus overcoming semi-transparency, is important for the understanding of why different artifacts offer us different cognitive affordances as well as different cognitive advantages. In this sense, it is not simply a theoretical achievement, but has some important practical consequences. In our highly technological world we can use different kinds of computers and artifacts for solving the same tasks, and we need to understand why some artifacts are better suited for some tasks than others. The ultimate characterisation of personal devices that emerges from this work is that of a sort of super-artifact. This special status is given to personal devices because of their distinctive features. They are in fact intrinsically multifunctional and meta-representational artifacts, with extremely variable structures. As super-artifacts, personal devices are characterised by macro-functionality and can be easily used as both cognitive artifacts and tools for other functions, depending on the kind of representations they instantiate. (shrink)

Delusions are transdiagnostic and heterogeneous phenomena with varying degrees of intensity, stability, and dimensional attributes where the boundaries between everyday beliefs and delusional beliefs can be experienced as clearly demarcated, fuzzy, or indistinguishable. This highlights the difficulty in defining delusional realities. All individuals in the current study were evaluated at index and at least one of six subsequential follow-ups over 20 years in the Chicago Longitudinal Study. We assessed 16 distinct delusions categorized as thought or thematic delusions. We also examined (...) the probability of recurrence and the relationships between delusions and hallucinations, depression, anxiety, and negative symptoms. The sample consisted of 262 individuals with schizophrenia vs. affective psychosis. Thought delusions were significantly different between groups at all follow-up evaluations except the 20-year timepoint. Thematic delusions were more common than thought delusions and show a significant decreasing pattern. In general, delusional content varied over time. Referential, persecutory, and thought dissemination delusions show the highest probability of recurrence. Hallucinations were the strongest indicator for thought, thematic, and overall delusions. The formation and maintenance of delusions were conceptualized as a multimodal construct consisting of sensory, perceptual, emotional, social, and somatic embodiment of an "experience of meanings". Given the significant associations between delusions and hallucinations, future work incorporating participatory research is needed to better define and align subjective and objective perspectives. Our research also points to the need for future clinical interventions that specifically evaluate and target the coexistence and entanglement of delusions and hallucinations. (shrink)

According to widely accepted views in metasemantics, the outputs of chatbots and other artificial text generators should be meaningless. They aren’t produced with communicative intentions and the systems producing them are not following linguistic conventions. Nevertheless, chatbots have assumed roles in customer service and healthcare, they are spreading information and disinformation and, in some cases, it may be more rational to trust the outputs of bots than those of our fellow human beings. To account for the epistemic role of chatbots (...) in our society, we need to reconcile these observations. This paper argues that our engagement with chatbots should be understood as a form of prop-oriented make-believe; the outputs of chatbots are literally meaningless but fictionally meaningful. With the make-believe approach, we can understand how chatbots can provide us with knowledge of the world through quasi-testimony while preserving our metasemantic theories. This account also helps to connect the study of chatbots with the epistemology of scientific instruments. (shrink)

In this paper, I challenge the popular belief shared by cognitive-minded theorists and therapists that the treatment of "inappropriate" or "dysfunctional" emotion should primarily be about challenging the eliciting cognitions. Although I acknowledge that sometimes therapy should proceed in this way, I point out that in some cases it is clearly the case that therapy should not proceed in this way—namely, in those cases where there are no eliciting cognitions, or in those cases where our concern lies with the kinds (...) of emotions that are being elicited, and not with the eliciting cognitions. I also consider, and reject, two responses that might be made to the arguments that I outline in the paper, and I conclude by describing what I believe to be some of the important practical or clinical implications of the arguments that I make. (shrink)

Inspired by the literature on extended/scaffolded mind, a debate concerning the contribution of extra-bodily resources to our (extended) emotions is recently gaining traction. Within this debate, inspired by the literature on cognitive artifacts introduces the notion of “affective artifacts”, indicating those objects that exert persistent effects on our feelings, possibly altering our self. However, by focusing on feelings, this notion neglects other facets of emotional episodes. Following Scarnatino’s tripartition between feeling, appraisal, and motivational theories of emotion, I present three varieties (...) of affective artifacts: Feeling, Evaluative and Motivational Artifacts. (shrink)

Cognitive behavior therapy theorists propose that disturbances in cognition underlie and maintain much emotional disturbance. Accordingly the cognitive addition to behavioral therapy typically consists in collaboratively noticing, restructuring, de-fusing from, and challenging these cognitions by the therapist and the patient. With the right group of problems, patients, and therapists, the practice of CBT is well known to possess therapeutic efficacy. This chapter, however, primarily considers the theory rather than the therapy of CBT; in particular it looks at the central significance (...) it gives to cognition in healthy and disturbed emotional function. It suggests that if "cognition" is used to mean merely our belief and thought, then CBT theory provides an implausible model of much emotional distress. If, on the other hand, "cognition" refers to the processing of meaning, then CBT risks losing its distinctiveness from all therapies other than the most blandly behavioral. The chapter also suggests: that the appearance, in CBT's causal models of psychopathology, of what seem to be distinct causal processes and multiple discrete intervention sites may owe more to the formalism of the theory than to the structure of the well or troubled mind; that CBT theorists sometimes unhelpfully assimilate the having of thoughts to episodes of thinking; that CBT models may sometimes overemphasize the significance of belief and thought in psychopathology because they have unhelpfully theorized meaning as belonging more properly to these, rather than to emotional, functions; that CBT approaches can also misconstrue the nature and value of acknowledgement and self-knowledge-thereby underplaying the value of some of the CBT therapist's own interventions. The theoretical and clinical implications of these critiques is discussed-such as that there are reasons to doubt that CBT always works, when it does, in the manner it tends to describe for itself. (shrink)