In addition to discussing some philosophical accounts of common sense, this article considers several ways in which common sense can be altered or disturbed in psychopathology. Common sense can be defined as practical understanding, capacity to see and take things in their right light, sound judgment, or ordinary mental capacity. The philosopher Vico described it as the ability to distinguish the probable from the improbable. Goethe understood common sense as an "organ" that is formed in communication for the purpose of (...) communication. Common sense is rooted in the intersubjective constitution of the life-world. Obsessive-compulsive patients show relatively mild disturbances of common sense. Patients with major affective psychoses, in their premorbid personality structure, are overly attached to common sense. In schizophrenia, however, there seems to be a true abdication of common sense involving a loss of "natural self-evidence." Even in premorbid states, such persons often lose both the sense of tact and the ability to "take things in their right light." Although logic, and the ability to engage in theoretical discussion, may be preserved, there is a loss of interpretive skills and the "faculty of judgment"; this results in an inability to cope with everyday practical and social activity. There is also a characteristic sense of perplexity, a sense of amazement before that which would normally seem self-evident and a frequent tendency to reflect upon the conditions of possibility of existence that otherwise remain concealed. The author suggests that the fragility of common sense should not be seen as a mere deficiency state. Rather, it derives from a basic vulnerability inherent in the very structure of being human. (Abstract written by special issue editor: L.A.S.). (shrink)

In recent years, there has been much focus on the apparent heterogeneity of schizophrenic symptoms. By contrast, this article proposes a unifying account emphasizing basic abnormalities of consciousness that underlie and also antecede a disparate assortment of signs and symptoms. Schizophrenia, we argue, is fundamentally a self-disorder or ipseity disturbance that is characterized by complementary distortions of the act of awareness: hyperreflexivity and diminished self-affection. Hyperreflexivity refers to forms of exaggerated self-consciousness in which aspects of oneself are experienced as akin (...) to external objects. Diminished self-affection or self-presence refers to a weakened sense of existing as a vital and self-coinciding source of awareness and action. This article integrates recent psychiatric research and European phenomenological psychiatry with some current work in cognitive science and phenomenological philosophy. After introducing the phenomenological approach along with a theoretical account of normal consciousness and self-awareness, we turn to a variety of schizophrenic syndromes. We examine positive, then negative, and finally disorganization symptoms—attempting in each case to illuminate shared distortions of consciousness and the sense of self. We conclude by discussing the possible relevance of this approach for identifying early schizophrenic symptoms. (shrink)

Abstract This paper proposes that adopting a ?phenomenological stance? enables a distinctive kind of empathy, which is required in order to understand forms of experience that occur in psychiatric illness and elsewhere. For the most part, we interpret other people's experiences against the backdrop of a shared world. Hence our attempts to appreciate interpersonal differences do not call into question a deeper level of commonality. A phenomenological stance involves suspending our habitual acceptance of that world. It thus allows us to (...) contemplate the possibility of structurally different ways of ?finding oneself in the world?. Such a stance, I suggest, can be incorporated into an empathetic appreciation of others' experiences, amounting to what we might call ?radical empathy? (shrink)

According to ‘purification interpretations’, the point of the epoché is to purify our ordinary experience of certain assumptions inherent in it. In this paper, I argue that purification interpretations are wrong. Ordinary experience is just fine as it is, and phenomenology has no intention of correcting or purifying it. To understand the epoché, we must keep the reflective nature of phenomenology firmly in mind. When we do phenomenology, we occupy two distinct roles, which come with very different responsibilities. As reflecting (...) phenomenologists, we must deactivate all our beliefs about the world. But the only point of this is to be able to describe the experiences we have as experiencing subjects, including all those beliefs about the world that may be part and parcel of those experiences. I end by suggesting that there is a useful analogy between phenomenological reflection and the familiar practice of quoting. (shrink)

In this paper we consider two major issues: conceptual–experimental approaches to the self, and the neuroanatomical substrate of the self. We distinguish content- and processed-based concepts of the self that entail different experimental strategies, and anatomically, we investigate the concept of midline structures in further detail and present a novel view on the anatomy of an integrated subcortical–cortical midline system. Presenting meta-analytic evidence, we show that the anterior paralimbic, e.g. midline, regions do indeed seem to be specific for self-specific stimuli. (...) We conclude that future investigation of the self need to develop novel concepts that are more empirically plausible than those currently in use. Different concepts of self will require novel experimental designs that include, for example, the brain’s resting state activity as an independent variable. Modifications of both conceptual and anatomical dimensions will allow an empirically more plausible account of the relationship between brain and self. (shrink)

The notion of minimal, basic, pre-reflective or core self is currently debated in the philosophy of mind, cognitive sciences and developmental psychology. However, it is not clear which experiential features such a self is believed to possess. Studying the schizophrenic experience may help exploring the following aspects of the minimal self: the notion of perspective and first person perspective, the ‘mineness’ of the phenomenal field, the questions of transparency, embodiment of point of view, and the issues of agency and ownership, (...) considered as different and less fundamental than the feeling of mineness. Two clinical vignettes of patients with the diagnosis of schizophrenia will be presented: the first one, illustrating early illness stages, and the second case, of chronic schizophrenia, symptomatically marked by persistent hallucinations. Through their analysis, we will discuss the experiential dimensions of minimal self. (shrink)

Auditory verbal hallucinations form an essential criterial feature in the schizophrenia definition in the Diagnostic and Statistical Manual of Mental Disorders -IV and International Classification of Diseases -10. In both classificatory systems, the presence of a hallucinatory voice that continuously comments the patient’s behavior or thoughts, or the presence of several voices that discuss the patient with each other, is a sufficient criterion to diagnose schizophrenia. The DSM-IV defines a hallucination as “a sensory perception that has the..

Many spiritual traditions employ certain mental techniques (meditation) which consist in inhibiting mental activity whilst nonetheless remaining fully conscious, which is supposed to lead to a realisation of one’s own true nature prior to habitual self-substantialisation. In this paper I propose that this practice can be understood as a special means of becoming aware of consciousness itself as such. To explain this claim I conduct some phenomenologically oriented considerations about the nature of consciousness qua presence and the problem of self-presence (...) of this presence. (shrink)

Delusions are usually defined as false beliefs about the state of affairs in the public world. Taking this premise as unquestionable, the debate in cognitive science tends to oscillate between the so-called 'rationalist approach'- proposing some breakdown in the central intellective modules embodying human rationality - and the 'empiricist approach' - proposing a primary peripheral deficit , followed by explanatory efforts in the form of delusions. In this article the foundational assumption about delusion is questioned. Especially in the case of (...) schizophrenia, delusions are not epistemic statements about external world but metaphorical reports of altered structure of experiencing . Delusions as epistemic statements or beliefs occur paradigmatically in delusional disorder . These two types of delusions are compared from a primarily phenomenological stance. (shrink)

In various ways, schizophrenia seems to involve an anomalous form of collective intentionality. Many patients report notable difficulties in establishing and maintaining relationships to others, which often may lead to social withdrawal, isolation, and pro-found feelings of solitude. What is puzzling is of course not that patients, despite their interpersonal difficulties, participate in or try to participate in various social activities, but that some of these social activities appear quite tolerable to the patients, whereas other activities seem almost unbearable. The (...) aim of this paper is to shed light on this aberrant social behaviour by clarifying the relations between schizophrenia and collective intentionality. (shrink)

In this paper I draw on contemporary philosophy of emotion to illuminate the phenomenological structure of so-called oceanic feelings. I suggest that oceanic feelings come in two distinct forms: as transient episodes that consist in a feeling of dissolution of the psychological and sensory boundaries of the self, and as a relatively permanent feeling of unity, embracement, immanence, and openness that does not involve occurrent experiences of boundary dissolution. I argue that both forms of feeling are existential feelings, i.e. pre-intentional (...) bodily feelings that structure overall self-world experience. I re-conceptualize episodic oceanic feelings as shifts in existential feeling, and permanent oceanic feelings as stable existential orientations. On the whole, my analysis elucidates a class of feeling that is allegedly quite common, yet frequently misunderstood. It will also serve to enrich our understanding of the general phenomenological structure of our affective lives. (shrink)

Can mystics intuit something of what modern physicists calculate? And if so, how? The question of the relation between the classical mysticisms and modern science is approached in Part I in terms of the multiple forms and definitions of 'truth value'. Intuition/epiphany, pragmatism, coherence, and correspondence are considered as forms of truth that have also been proposed for unitive mystical experience. Since 'correspondence' or 'representation' has been the definition at the core of modern science, it in particular is approached by (...) combining Lakoff and Johnson on the roots of all abstract knowledge in physical metaphor and Gibson on the ecological array of perception as the template from which such metaphors must be drawn. A series of similarities between the maximally inclusive metaphors underlying unitive mystical experience and cosmological physics, as abstracted from an ecological array already resonant with multiple levels of physical reality, suggests a basis for the correspondence between these otherwise distinct cognitive domains. Part II extends this approach to widely posited cross cultural values of spiritual or mystical realization, in terms of gratitude, compassion, faith, and inner freedom. When fully embodied as forms of personal conduct, these are also ultimately derivable from the openness and flow patternings of the ecological array itself. The possibility that the more abstract spiritual values of the major world mysticisms exemplify not only revelatory and pragmatic forms of truth, but are also broadly correspondent with both the principles of immediate concrete perception and modern physics, may eventually allow a contemporary re- formulation of the microcosm-macrocosm unities basic to traditional cultures. (shrink)