The paper contrasts two ways of understanding the apparently strange assertions of mad persons, finds them both problematic, and proposes an alternative. The first approach, exemplified by R.D. Laing, is to suppose that the beliefs of the mad person are ordinary but expressed in terms that make them appear irrational. The other approach, advocated by Silvano Arieti, is to take the words at face value but to attribute to the mad person a kind of deviant logic. I suggest, on the (...) basis of a Davidsonian approach, that the bizarre utterances of the mad simply cannot be understood adequately; they are, precisely, points at which accomodations of intepretation give out. This is what makes them symptoms of madness. (shrink)

I argue that some cases of delusions show the inadequacy of those theories of interpretation that rely on a necessary rationality constraint on belief ascription. In particular I challenge the view that irrational beliefs can be ascribed only against a general background of rationality. Subjects affected by delusions seem to be genuine believers and their behaviour can be successfully explained in intentional terms, but they do not meet those criteria that according to Davidson (1985a) need to be met for the (...) background of rationality to be in place. (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 ...

SummaryNeither an infant one week old nor a snail is a rational creature. If the infant survives long enough, he will probably become rational, while this is not true of the snail. If we like, we may say of the infant from the start that he is a rational creature because he will probably become rational if he survives, or because he belongs to a species with this capacity. Whichever way we talk, there remains the difference, with respect to rationality, (...) between the infant and the snail on one hand, and the normal adult person on the other; this difference is discussed here.The difference consists, it is argued, in the having of propositional attitudes such as belief, desire, intention and shame. This raises the question how to tell when a creature has propositional attitudes; snails, we may agree, do not, but how about dogs or chimpanzees? The question is not empirical; the question is what sort of empirical evidence is relevant to deciding when a creature has propositional attitudes.It is next contended that language is a necessary concomitant of any of the propositional attitudes. This idea is not new, but there seem to be few arguments in its favor in the literature; one is attempted here.Crucial to the considerations advanced is the idea that belief depends on having the concept of objective truth, and that this comes only with language.RéuméNi un bébé d'une semaine, ni un serpent ne sont des créatures rationnelles. Si le bébé survit assez longtemps, il deviendra probablement rationnel, mais ce n'est pas vrai pour le serpent. Sil'on veut, on peut dire d'emblee du bébé qu'il est une créature rationnelle parce qu'il le deviendra s'il survit ou parce qu'il appartient à une espèce qui possède cette faculté. Quoi qu'on dise, la différence subsiste, en ce qui concerné la rationalité, entre le bébé et le serpent d'une part, la per‐sonne adulte normale de lcar;autre, et c'est cette différence qui sera discutée ici.La différence consiste, selon l'auteur, en une capacityé d'avoir des attitudes propositionnelles telles que la croyance, le désir, l'intention et la honte. Ceci pose la question de savoir quand on peut dire qu'une créature a des attitudes propositionnelles; on peut se mettre d'accord sur le fait que les serpents n'en ont pas, mais qu'en est‐il des chiens et des chimpanzés? La question n'est pas empirique, elle est de savoir quelle donnée empirique va décider si oui ou non une créature a des attitudes propositionnelles.L'auteur prétend que les attitudes propositionnelles s'accompagnent nécessairement du langage. Cette idèe n'est pas nouvelle, mais il semble qu'il y a peu d'arguments qui la soutiennent dans la littérature. On en trouvera un ici, où l'on montre qu'un élément crucial de a croyance dépend de l'acquisition du concept de vérité objective, qui ne se développe qu'avec le langage.ZusammenfassungWeder ein eine Woche altes Kind noch eine Schlange sind rationale Wesen. Wenn das Kind lange genug überlebt, wird es sich wahrscheinlich zu einem vernünftigen Wesen entwickeln, wäh‐rend das für die Schlange nicht zutrifft. Wenn wir wollen, können wir vom Kind sagen, dass es von Anfang an cin rationales Wesen ist, weil es im Fallc des Ubcrlebens vernünftig werden wird oder weil es zu einer Spezies mit dieser Fähigkeit gehört. Wie auch immer wir das ausdrücken, bleibt bezüglich der Rationalität der Unterschied zwischen dem Kind und der Schlange einerseits und der erwachsenen Person andererseits zurück. Dieser Unterschied wird hier diskutiert.Es wird argumentiert, dass der Unterschied in der Fähigkeit besteht, psychologische Haltun‐gen wie Glauben, Begierden, Absichten und Scham zu haben. Damit erhebt sich die Frage, wie man entscheiden kann, wann ein Wesen solchc Einstellungcn hat; Schlangen, wird man zugeben, haben keine; wie steht es aber mit Hunden Oder Schimpansen? Die Frage ist keine empirische, sondern betrifft die Frage, welche Art von empirischen Belegen für den Entscheid relevant ist, ob ein Wesen derartige Einstellungen hat.Es wird die These aufgestellt, dass Sprachen ein notwendiger Begleitumstand einer jeglichen propositionalen Haltung ist. Der Gedanke ist zwar nicht neu, aber es finden sich wenige Argu‐mente zu seiner Stützung in der Literatur; eines wird hier ausgeführt.Entscheidend für die vorgelegten Betrachtungen ist die Auffassung, wonach Glaube vom Begriff der objektiven Wahrheit abhängt, und dieser kommt erst mit der Sprache. (shrink)

Whether your scepticism is as absolute and sincere as you claim is something we shall learn later on, when we end this little meeting: we’ll then see whether you leave the room through the door or the window; and whether you really doubt that your body has gravity and can be injured by its fall—which is what people in general think on the basis of their fallacious senses and more fallacious experience. What Could Be more dissimilar than a well-argued philosophical (...) thesis and a psychiatric delusion? Compare, for instance, Hume’s (1739) view that the self is nothing more than a “bundle” of perceptions with the psychiatric patient’s view that the thoughts in his head belong to someone else. Or, compare the .. (shrink)

In his classic paper, “Delusional thinking and perceptual disorder,” Brendan Maher (1974) argues that psychiatric delusions are hypotheses designed to explain anomalous experiences, and are “developed through the operation of normal cognitive processes.” Consider, for instance, the Capgras delusion. Patients suffering from this particular delusion believe that someone close to them—such as a spouse, a sibling, a parent, or a child—has been replaced by an impostor: by someone who bears a striking resemblance to the “original” and who (for reasons unknown) (...) is intent on passing herself off as that individual. On Maher's view, the “Impostor Hypothesis” is the response of a rational agent to the anomalous experience it is invoked to explain. Recently, a number of philosophers have argued that Maher's analysis of delusion doesn't work when applied to the Capgras delusion. In this paper, I defend Maher's analysis against these arguments. However, my aim is not merely to defend Maher's analysis, but also to draw attention to some of the methodological problems that have led to its hasty dismissal. (shrink)

After presenting and criticizing recent theoretical work on the nature of delusional belief, I argue that the works of the later Wittgenstein and Donald Davidson offer heretofore underappreciated insights into delusional belief. I distinguish two general kinds of delusion: pedestrian and stark. The former can be explained as cognitive mistakes of various kinds, whereas the latter I argue are necessarily inexplicable. This thesis requires the denial of the Davidsonian dogma that rationality is constitutive of mental content. I claim that the (...) dogma holds only for normal cognition and is violated precisely in the case of stark delusion. (shrink)

Psychiatry is unique in medicine in being on the border between science and the humanities. Science provides insight into the 'causes' of a problem, enabling us to formulate an 'explanation', while the humanities provide insight into its 'meanings' and helps with our 'understanding'. The new interdisciplinary field of 'philosophy of psychiatry' has developed to explore the range of issues relevant to this border country. The Oxford Textbook of Philosophy and Psychiatry is a unique textbook which provides a detailed introduction to (...) the field, a framework for study and skill development, and an overview of current research. It focuses on case studies in 5 key topic areas. Each case study is supported by selected readings from both philosophy and mental health, thinking skills exercises, self-test questions, key learning points and detailed guides to further reading. (shrink)

© 2004 by The Johns Hopkins University Press.