We provide a battery of examples of delusions against which theoretical accounts can be tested. Then, we identify neuropsychological anomalies that could produce the unusual experiences that may lead, in turn, to the delusions in our battery. However, we argue against Maher’s view that delusions are false beliefs that arise as normal responses to anomalous experiences. We propose, instead, that a second factor is required to account for the transition from unusual experience to delusional belief. The second factor in the (...) aetiology of delusions can be described superficially as a loss of the ability to reject a candidate for belief on the grounds of its implausibility and its inconsistency with everything else that the patient knows. But we point out some problems that confront any attempt to say more about the nature of this second factor. (shrink)

Article copyright 2002. We provide a battery of examples of delusions against which theoretical accounts can be tested. Then we identify neuropsychological anomalies that could produce the unusual experiences that may lead, in turn, to the delusions in our battery. However, we argue against Maher's view that delusions are false beliefs that arise as normal responses to anomalous experiences. We propose, instead, that a second factor is required to account for the transition from unusual experience to delusional belief. The second (...) factor in the etiology of delusions can be described superficially as a loss of the ability to reject a candidate for belief on the grounds of its implausibility and its inconsistency with everything else that the patient knows, but we point out some problems that confront any attempt to say more about the nature of this second factor. (shrink)

Chris Frith has argued that a loss of the sense of agency is central to schizophrenia. This suggests a connection between hallucinations and delusions on the one hand, and the misidentification of the subject’s imaginings as perceptions and beliefs on the other. In particular, understanding the mechanisms that underlie imagination may help us to explain the puzzling phenomena of thought insertion and withdrawal. Frith sometimes states his argument in terms of a loss of metarepresentational capacity in schizophrenia. I argue that (...) this formulation is unhelpful. (shrink)

Chris Frith has argued that a loss of the sense of agency is central to schizophrenia. This suggests a connection between hallucinations and delusions on the one hand, and the misidentification of the subject’s imaginings as perceptions and beliefs on the other. In particular, understanding the mechanisms that underlie imagination may help us to explain the puzzling phenomena of thought insertion and withdrawal. Frith sometimes states his argument in terms of a loss of metarepresentational capacity in schizophrenia. I argue that (...) this formulation is unhelpful. (shrink)

Chris Frith has argued that a loss of the sense of agency is central to schizophrenia. This suggests a connection between hallucinations and delusions on the one hand, and the misidentification of the subject’s imaginings as perceptions and beliefs on the other. In particular, understanding the mechanisms that underlie imagination may help us to explain the puzzling phenomena of thought insertion and withdrawal. Frith sometimes states his argument in terms of a loss of metarepresentational capacity in schizophrenia. I argue that (...) this formulation is unhelpful. (shrink)

If you stare for a period of time at a scene which contains movement in one direction, and then turn your attention to an object in a scene which contains no movement, this object will appear to move in the opposite direction to that of the original movement. The effect can be easily achieved by attaching a piece of paper with a spiral drawn on it to the spinning turntable of a record player, and then turning the turntable off while (...) continuing to look at the spiral (see Frisby 1979, pp. 100-101 for a detailed descrip- tion of how to bring this about). But the illusion of movement can also occur when looking at a waterfall, for instance, and turning one's attention away from the waterfall to a stationary object such as a stone; hence its name - the 'Waterfall Illusion'. (shrink)

John Campbell (1999) has recently maintained that the phenomenon of thought insertion as it is manifested in schizophrenic patients should be described as a case in which the subject is introspectively aware of a certain thought and yet she is wrong in identifying whose thought it is. Hence, according to Campbell, the phenomenon of thought insertion might be taken as a counterexample to the view that introspection-based mental selfascriptions are logically immune to error through misidentification (IEM, hereafter). Thus, if Campbell (...) is right, it would not be true that when the subject makes a mental self-ascription on the basis of introspective awareness of a given mental state, there is no possible world in which she could be wrong as to whether it is really she who has that mental state. Notice the interesting interdisciplinary implications of Campbell’s project: on the one hand, a fairly precise notion elaborated in philosophy such as IEM (and the related notion of error through misidentification, EM hereafter) is used to describe a characteristic symptom of schizophrenia.1 On the other hand, such a phenomenon, described in the way proposed, is taken to be a possible counterexample to a sort of “philosophical dogma” such as IEM of introspection-based non-inferential mental self-ascriptions. In the first section of the paper I will point out the characteristic features of EM and explain logical immunity to error through misidentification of introspection-based mental self-ascriptions; in the second section I will consider the case of thought insertion in more detail and show why, after all, it is not a counterexample to the view that introspectionbased mental self-ascriptions are logically IEM. Finally, I will offer a re-description of the phenomenon of thought insertion. (shrink)

Ordinarily, if you say something like “I see a comet,” you might make a mistake about whether it is a comet that you see, but you could not be right about whether it is a comet but wrong about who is seeing it. There cannot be an “error of identification” in this case. In making a judgement like, “I see a comet,” there are not two steps, finding out who is seeing the thing and finding out what it is that (...) is being seen, so that you could go wrong at either step. The only place to go wrong is in your description of what is being seen. We usually take it that the same point applies to present-tense ascriptions to oneself of psychological states in general. You can get it wrong about which psychological state you are in, but you cannot get it right about the psychological state but wrong about whose psychological state it is. In contrast, in a room full of people, I might hear a noise and conclude, “Bill sneezed,” and in this case I could be wrong either about who it was that sneezed or about whether it was a sneeze, rather than say a death-rattle. (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)

A popular approach to monothematic delusions in the recent literature has been to argue that monothematic delusions involve broadly rational responses to highly unusual experiences. Campbell calls this the empiricist approach to monothematic delusions, and argues that it cannot account for the links between meaning and rationality. In place of empiricism Campbell offers a rationalist account of monothematic delusions, according to which delusional beliefs are understood as Wittgensteinian framework propositions. We argue that neither Campbell's attack on empiricism nor his rationalist (...) alternative to empiricism is successful. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Philosophy, Psychiatry, & Psychology 9.1 (2002) 41-46 [Access article in PDF] On What There Really Is to Our Notion of Ownership of a Thought Annalisa Coliva JOHN CAMPBELL'S REPLY to my paper aims at reestablishing the point that there are two strands to our notion of ownership of a thought. There are two ways of cashing out this idea. 1 First, one could say that A is the owner (...) of a thought if and only if both the following two independent conditions apply 2 : (1) X is introspectively aware of a token thought and (2) X is the person who formed that token thought. Second, one may hold that there are twodifferent and independent notions of ownership of a thought, call it O1 and O2, corresponding to (1) and (2), respectively. For brevity, I will refer only to the first interpretation. But what I will be saying will apply, mutatis mutandis, to both.On this view, thought insertion would be a case in which someone thinks that (1) is satisfied, while (2) is not and, therefore, denies that the thought she is introspectively aware of is her own. 3 Campbell's explanation of thought insertion is quite clear: the subject has prima facie reasons to think that she is not the person who formed that token thought—maybe because she does not experience that thought as formed by herself—and, therefore, has prima facie reasons to deny that she is its owner, but she is mistaken in identifying the producer of the thought and what she says is false, yet reasonable. 4 Notice, however, an important consequence of Campbell's model. If (1) and (2) are independent conditions, then one could obtain without the other. Hence, it must be conceivable that one is introspectively aware of a thought that one has not produced. Indeed, cases of multiple personality, if taken literally, might be taken as examples of this kind of situation: person A and person B inhabit the same body, A can have access to B's thoughts, yet B remains their producer. So A could actually say something like "I'm thinking (i.e. I am immediately aware) that p, but this is not my thought (it is not the thought I produced), it's B's (the thought that B produced)" and what she would be saying would in fact be true.Yet, a simple-minded reaction one may have toward this line of explanation is this: If the subject is either saying something false, but reasonable, or, indeed, something altogether true, when she says "I'm thinking 'Kill God,' but this isn't my thought, it's Chris'," why should we consider her report as an expression of some kind of cognitive illusion, 5 which we take as a symptom of mental illness, as opposed to, at most, a possible mistake in identifying the producer of the thought? And, connectedly, why should we try to cure her, rather than just, at most, correct her? [End Page 41]Hence, the whole dispute between Campbell and me hinges on whether it is logically possible for one to be introspectively aware of a thought and yet not be its producer. Campbell claims that it is, whereas I deny that this is a genuine possibility. He holds that these are two independent conditions and that the one can obtain without the other, whereas I hold that they are not independent and that they stand or fall together. Campbell is fully aware of being making a surprising claim because, as he points out, "[The two strands in the ordinary notion of ownership of a thought] do not ordinarily even seem to come apart" (Campbell 2002, italics mine). Yet he offers in its support no more than an analogy between being the person who produced a certain signature and being the person who produced a given token thought. Let us look at it closer.Consider the following situation: a person NN looks at a piece of paper with NN written on it and wonders whether she is the... (shrink)

What do we see? We are visually conscious of colors and shapes, but are we also visually conscious of complex properties such as being John Malkovich? In this book, Susanna Siegel develops a framework for understanding the contents of visual experience, and argues that these contents involve all sorts of complex properties. Siegel starts by analyzing the notion of the contents of experience, and by arguing that theorists of all stripes should accept that experiences have contents. She then introduces a (...) method for discovering the contents of experience: the method of phenomenal contrast. This method relies only minimally on introspection, and allows rigorous support for claims about experience. She then applies the method to make the case that we are conscious of many kinds of properties, of all sorts of causal properties, and of many other complex properties. She goes on to use the method to help analyze difficult questions about our consciousness of objects and their role in the contents of experience, and to reconceptualize the distinction between perception and sensation. Siegel's results are important for many areas of philosophy, including the philosophy of mind, epistemology, and the philosophy of science. They are also important for the psychology and cognitive neuroscience of vision. (shrink)

In Mind and World, John McDowell argues against the view that perceptual representation is non-conceptual. The central worry is that this view cannot offer any reasonable account of how perception bears rationally upon belief. I argue that this worry, though sensible, can be met, if we are clear that perceptual representation is, though non-conceptual, still in some sense 'assertoric': Perception, like belief, represents things as being thus and so.

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)

The neurocognitive structure of the acting self has recently been widely studied, yet is still perplexing and remains an often confounded issue in cognitive neuroscience, psychopathology and philosophy. We provide a new systematic account of two of its main features, the sense of agency and the sense of ownership, demonstrating that although both features appear as phenomenally uniform, they each in fact are complex crossmodal phenomena of largely heterogeneous functional and representational levels. These levels can be arranged within a gradually (...) evolving, onto- and phylogenetically plausible framework which proceeds from basic non-conceptual sensorimotor processes to more complex conceptual and meta-representational processes of agency and ownership, respectively. In particular, three fundamental levels of agency and ownership processing have to be distinguished: The level of feeling, thinking and social interaction. This naturalistic account will not only allow to “ground the self in action”, but also provide an empirically testable taxonomy for cognitive neuroscience and a new tool for disentangling agency and ownership disturbances in psychopathology. (shrink)

The standard approach to the core phenomenology of thought insertion characterizes it in terms of a normal sense of thought ownership coupled with an abnormal sense of thought agency. Recently, Fernández (2010) has argued that there are crucial problems with this approach and has proposed instead that what goes wrong fundamentally in such a phenomenology is a sense of thought commitment, characterized in terms of thought endorsement. In this paper, we argue that even though Fernández raises new issues that enrich (...) the topic, his proposal cannot rival the version of the standard approach we shall defend. (shrink)

I present a perceptual account of other minds that combines a Husserlian insight about perceptual experience with a functionalist account of mental properties.

Synesthetes are people who report having perceptual experiences that are very unusual, such as ?seeing? sounds as colors or ?smelling? colors as odors. It is commonly assumed these days that such synesthetic experiences must be instances of misperceptions. Against this widespread assumption, I will highlight that there is reason to think that at least some synesthetic experiences can be viewed as truly veridical perceptions, and not as illusions or hallucinations. On this view, which I will back up by conceptual arguments (...) and empirical data, synesthesia does sometimes enable the individual to truly pick up on worldly features. In failing to take this possibility on board, the participants in this debate have thus unduly restricted the scope of dialectical options. Finally, the reassessment of synesthetic experiences that I defend in this paper will turn out to have important ramifications not just for synesthesia research, but also for perception theories more generally. (shrink)

This paper, in opposition to the standard theories of social cognition found in psychology and cognitive science, defends the idea that direct perception plays an important role in social cognition. The two dominant theories, theory theory and simulation theory , both posit something more than a perceptual element as necessary for our ability to understand others, i.e., to “mindread” or “mentalize.” In contrast, certain phenomenological approaches depend heavily on the concept of perception and the idea that we have a direct (...) perceptual grasp of the other person’s intentions, feelings, etc. This paper explains precisely what the notion of direct perception means, offers evidence from developmental studies, and proposes a non-simulationist interpretation of the neuroscience of mirror systems. (shrink)

According to Jaspers, claims to the effect that one's thoughts, impulses, or actions are controlled by others belong to those schizophrenic symptoms that are not susceptible to any psychological explanation. In opposition to Jaspers, it has recently been suggested that such claims can be made intelligible by distinguishing two ingredients in our common sense notion of ownership of a thought: It is one thing for a thought to occur in my stream of consciousness; it is another for it to be (...) interpretable in terms of my propositional attitudes. I argue that this distinction cannot be sustained and pursue an alternative suggestion, drawing on Louis Sass's "solipsist interpretation" of schizophrenia. (shrink)

Current models of delusion converge in proposing that delusional beliefs are based on unusual experiences of various kinds. For example, it is argued that the Capgras delusion (the belief that a known person has been replaced by an impostor) is triggered by an abnormal affective experience in response to seeing a known person; loss of the affective response to a familiar person’s face may lead to the belief that the person has been replaced by an impostor (Ellis & Young, 1990). (...) Similarly, the Cotard delusion (which involves the belief that one is dead or unreal in some way) may stem from a general.. (shrink)

We argue that thought insertion primarily involves a disruption of the sense of ownership for thoughts and that the lack of a sense of agency is but a consequence of this disruption. We defend the hypothesis that this disruption of the sense of ownership stems from a fail- ure in the online integration of the contextual information related to a thought, in partic- ular contextual information concerning the different causal factors that may be implicated in their production. Loss of unity (...) of consciousness, manifested by incoherent subjective experiences is a general phenomenal characteristic of schizophrenia. This loss of coherence has been hypothesized to reflect a generalized deficit of contextual information integration not conveyed by, but related to, a target event. This deficit is manifested across many cog- nitive domains. We argue that it is also manifested in the process of thinking itself, result- ing in causally decontextualized thoughts that are experienced as inserted thoughts. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Philosophy, Psychiatry, & Psychology 11.1 (2004) 71-80 [Access article in PDF] Some Reflections on the (Analytic) Philosophical Approach to Delusion Louis A. Sass There are more things in heaven and earth, Horatio, Than are dreamt of in your philosophy." —Hamlet, Act I, Scene 5 The peculiar, often problematic phenome na of psychopathology have been attract ing the attention of analytic philosophers in recent years. The topic of delusion has (...) been a particular draw, with a number of analytic philosophers attempting to use their conceptual tools, usually combined with ideas from cognitive neuroscience, to criticize the traditional understanding and to clarify the nature of this central psychiatric topic. It is useful to have this kind of interdisciplinary dialogue. Indeed, there is good reason to hope that concepts honed in the philosophy of mind and other philosophical subfields will help to sort out our understanding of a phenomenon (or set of phenomena) for which contemporary psychiatric definitions and conceptualizations are clearly inadequate and, in some respects, downright misleading (see Parnas and Sass 2001; Spitzer 1990).1Here, however, I would like to call attention to some weaknesses that, it seems to me, are rather common (I do not say universal) in many analytic philosophical approaches to psychopathology. In my opinion, there is a tendency to formulate issues and arguments in overly polarized, even dichotomous terms, and then to rely too uncritically on these essentialistic formulations in exploring the domain of inquiry. Although this polarizing tendency sometimes has the salutary effect of clarifying conceptual domains, it can, when taken too far, actually hamper our understanding of phenomena that are often fraught with ambiguities and complexities that defy many standard conceptualizations.The relationship between philosophy and psychopathology is obviously a two-way street—we are familiar, for example, with disorders that challenge deep philosophical assumptions about self and mind (e.g., blindsight, split-brain phenomena, perhaps also Dissociative Identity Disorder, and the first rank symptoms of schizophrenia). I am suggesting that, in their work on delusions, philosophers may need to put more emphasis on moving from the natural phenomena [End Page 71] of psychopathology and to the domain of philosophical analysis.I believe that a greater sensitivity to the modes of knowing associated with the phenomenological tradition, and to the forms of conceptual self-critique fostered by Ludwig Wittgenstein, are crucial ingredients for any adequate approach to delusion as well as many other topics in psychopathology. In my opinion, the work of many analytic philosophers interested in psychopathology would be enriched if they spent more time trying to discover and imagine what it might be like to experience certain kinds of abnormal psychiatric conditions, and also speculating about what implications such experiential modalities might have for action and verbal expression. I believe they would also be wise to spend more time questioning, and attempting to transcend, the philosophically derived conceptual distinctions and dichotomies that appear to organize their conceptual universes. Phenomenological imagination and Wittgensteinian critique can show how to move outside the conceptual capsule and into the rich and strange realms of actual experience, both normal and abnormal.So far I have offered only slogans. Let me use the articles by Tim Bayne and Elisabeth Pacherie (2004) and Robert Klee (2004) to flesh out the criticisms I have offered. There is much that is intelligent and much that is worthwhile in both their articles. (For example, I was largely convinced by the criticisms of John Campbell and of Donald Davidson that are central to the articles by Bayne and Pacherie and by Klee, respectively.) Here, however, I will focus only on issues that illustrate the above-mentioned tendencies—tendencies that, in my view, tend to infect even the best writings on the (analytic) philosophy of psychiatry. I will also make some remarks about the works of Campbell and Davidson, the two philosophers criticized in the articles by Bayne and Pacherie and by Klee. Because the article by Eugenie Georgaca (2004) is in a different tradition, I will say only a few words about it at the end. Bayne and Pacherie on the Preservation-Of-meaning... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Philosophy, Psychiatry, & Psychology 9.1 (2002) 35-39 [Access article in PDF] The Ownership of Thoughts John Campbell Keywords: schizophrenia, thought insertion, immunity to error through misidentification. SYDNEY SHOEMAKER FORMULATED a basic point about first-person, present-tense ascriptions of psychological states when he declared that they are, in general, immune to error through misidentification (Shoemaker 1984). Assuming Shoemaker's point to be correct, the puzzle it raises is this: how are we (...) to explain this datum? Why should it be that first-person, present-tense ascriptions of psychological states are immune to error through misidentification? One type of explanation is in terms of the meaning of the first person: that "I" just stands for whoever is the owner of these (demonstrated) psychological states (including any states being self-ascribed). I argued against this account of the first person in a number of places, and in favor of an alternative explanation of Shoemaker's datum. On the alternative explanation, the reason for the immunity is provided by an account of the ownership of psychological states, on which what makes a psychological state mine is the possibility of self-ascription of it by me (Campbell 1986, 1999a). Suppose we call this the Introspectionist explanation of the immunity to error through misidentification of present-tense self-ascriptions of psychological states. I do think, though, that the simple Introspectionist account is too simple an account of Shoemaker's datum (Campbell 1999a, 1999b). The reason is that there is a certain complexity in our notion of the ownership of a token thought. We cannot give a full account of our ordinary notion of the ownership of a thought simply in terms of the person who is capable of introspective knowledge of the thought. The reason is that there is another dimension to our ordinary notion of the ownership of a thought. We also think of the possessor of a thought as being the person who generated that very thought; we think of the owner of the thought as being the person who brought that particular token thought into existence, the person who formed it. Of course, that token thought may be a copying of someone else's idea; that other person may have influenced my formation of that particular thought. But the point remains that I play a special role in the production of my thoughts.Suppose we have a document bearing a signature and we ask, "Whose signature is that?" In this case we are asking about the authorship of the signature; we are asking who made those particular marks on that bit of paper. Of course, someone else can copy my signature, trying to make it look as if what they write was written by me. But for a particular piece of writing to be an authentic signature of mine, the thing has to be generated by me personally. I think it is helpful to bear in mind this aspect of the notion of the ownership of a signature, when we consider a certain complexity in the notion of the ownership of a thought—I mean, an occurrent, episodic [End Page 35] thought. There are, I am saying, two strands in the ordinary notion of the ownership of a thought, which we do not ordinarily have any reason to separate. First, there is the notion of the person who generated that particular thought, which we might think of on the model of the person who inscribed a particular signature. Of course, in generating a particular token thought, you may be subject to all sorts of influences. Perhaps your thought is derivative, largely shaped by others. Perhaps your thoughts are sometimes simply echoes of the things other people have said. Nonetheless, when we consider how your individual token thoughts are being brought about, you play a proximal role in their formation that no one else does. To give an analogy, suppose that I am taking notes at your dictation. Then there is a sense in which the contents of my notes are entirely determined by you. But there is also a sense in which the token sentences are being generated by... (shrink)

This paper is concerned with the problem of selfidentification in the domain of action. We claim that this problem can arise not just for the self as object, but also for the self as subject in the ascription of agency. We discuss and evaluate some proposals concerning the mechanisms involved in selfidentification and in agencyascription, and their possible impairments in pathological cases. We argue in favor of a simulation hypothesis that claims that actions, whether overt or covert, are centrally simulated (...) by the neural network, and that this simulation provides the basis for action recognition and attribution. (shrink)

This paper is concerned with the problem of self‐identification in the domain of action. We claim that this problem can arise not just for the self as object, but also for the self as subject in the ascription of agency. We discuss and evaluate some proposals concerning the mechanisms involved in self‐identification and in agency‐ascription, and their possible impairments in pathological cases. We argue in favor of a simulation hypothesis that claims that actions, whether overt or covert, are centrally simulated (...) by the neural network, and that this simulation provides the basis for action recognition and attribution. (shrink)

In this paper, I investigate in detail one theoretical approach to the symptom of thought insertion. This approach suggests that patients are lead to disown certain thoughts they are subjected to because they lack a sense of active participation in the occurrence of those thoughts. I examine one reading of this claim, according to which the patients’ anomalous experiences arise from a breakdown of cognitive mechanisms tracking the production of occurrent thoughts, before sketching an alternative reading, according to which their (...) experiences have to be explained in terms of a withdrawal, on the part of the patients themselves, from certain forms of active engagement in reasoning. I conclude with a discussion of the relationship between this view and the idea that patients’ reports of thought insertion reflect a situation in which the boundaries between the self and the world have become uncertain. (shrink)

Although philosophical approaches to the self are diverse, several of them are relevant to cognitive science. First, the notion of a 'minimal self', a self devoid of temporal extension, is clarified by distinguishing between a sense of agency and a sense of ownership for action. To the extent that these senses are subject to failure in pathologies like schizophrenia, a neuropsychological model of schizophrenia may help to clarify the nature of the minimal self and its neurological underpinnings. Second, there is (...) good evidence to suggest that although certain aspects of the minimal self are primitive and embodied, other aspects may be accessed only in reflective consciousness. Employing a modified concept of the minimal self, it may be possible to construct a robotic form of non-conscious self-reference that depends on an interaction between the robotic body and its environment. In contrast to the minimal self, the narrative self involves continuity over time and is directly relevant to discussions of memory and personal identity. There is growing consensus among philosophers and cognitive scientists about the importance of narrative and its relation to episodic memory and left-hemisphere functions. There are, however, at least two different views of how the narrative self is structured. On one model it is nothing more than an abstract point. On a more extended view, proposed here, the self is a rich amalgam of narratives that allows for the equivocations, contradictions, and self-deceptions of personal life. Even in this case, however, neurocognitive models contribute to our understanding of how narrative identity is structured. (shrink)

In this unique study Fulford combines the disciplines of rigorous philosophy with an intimate knowledge of psychopathology to overturn traditional hegemonies. The patient replaces the doctor at the heart of medicine. Moral theory and the logic of evaluation replace epistemology as the focus of philosophical enquiry. Ever controversial, mental illness is at the interface of philosophy and medicine. Mad or bad? Dissident or diseased? Dr Fulford shows that it is possible to achieve new insights into these traditional dilemmas, insights at (...) once practically relevant and philosophically significant. (shrink)

Delusions play a fundamental role in the history of psychology, philosophy and culture, dividing not only the mad from the sane but reason from unreason. Yet the very nature and extent of delusions are poorly understood. What are delusions? How do they differ from everyday errors or mistaken beliefs? Are they scientific categories? In this superb, panoramic investigation of delusion Jennifer Radden explores these questions and more, unravelling a fascinating story that ranges from Descartes’s demon to famous first-hand accounts of (...) delusion, such as Daniel Schreber’s Memoirs of My Nervous Illness. Radden places delusion in both a clinical and cultural context and explores a fascinating range of themes: delusions as both individually and collectively held, including the phenomenon of folies á deux ; spiritual and religious delusions, in particular what distinguishes normal religious belief from delusions with religious themes; how we assess those suffering from delusion from a moral standpoint; and how we are to interpret violent actions when they are the result of delusional thinking. As well as more common delusions, such as those of grandeur, she also discusses some of the most interesting and perplexing forms of clinical delusion, such as Cotard and Capgras. (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 ...

An examination of verbal hallucinations and thought insertion as examples of "alienated self-consciousness.".

A theory of understanding -- Truth's role in understanding -- Critique of justificationist and evidential accounts -- Do pragmatist views avoid this critique? -- A realistic account -- How evidence and truth are related -- Three grades of involvement of truth in theories of understanding -- Anchoring -- Next steps -- Reference and reasons -- The main thesis and its location -- Exposition and four argument-types -- Significance and consequences of the main thesis -- The first person as a case (...) study -- Fully self-conscious thought -- Immunity to error through misidentification relative to the first person -- Can a use of the first-person concept fail to refer? -- Some conceptual roles are distinctive but not fundamental -- Implicit conceptions -- Implicit conceptions : motivation and examples -- Deflationary readings rejected -- The phenomenon of new principles -- Explanation by implicit conceptions -- Rationalist aspects -- Consequences : rationality, justification, understanding -- Transitional -- Applications to mental concepts -- Conceiving of conscious states -- Understanding and identity in other cases -- Constraints on legitimate explanations in terms of identity -- Why is the subjective case different? -- Attractions of the interlocking account -- Tacit knowledge, and externalism about the internal -- Is this the myth of the given? -- Knowledge of others' conscious states -- Communicability : between Frege and Wittgenstein -- Conclusions and significance -- 'Another I' : representing perception and action -- The core rule -- Modal status and its significance -- Comparisons -- The possession-condition and some empirical phenomena -- The model generalized -- Wider issues -- Mental action -- The distinctive features of action-awareness -- The nature and range of mental actions -- The principal hypothesis and its grounds -- The principal hypothesis : distinctions and consequences -- How do we know about our own mental actions? -- Concepts of mental actions and their epistemological significance -- Is this account open to the same objections as perceptual models of introspection? -- Characterizing and unifying schizophrenic experience -- The first person in the self-ascription of action -- Rational agency and action-awareness -- Representing thoughts -- The puzzle -- A proposal -- How the solution treats the constraints that generate the puzzle -- Relation to single-level treatments -- An application : reconciling externalism with distinctive self-knowledge. (shrink)

Provides an overview and examples of what impossible figures are, and explains their interest to many different disciplines including philosophy, psychology, art and mathematics.

Extant philosophical accounts of schizophrenic alien thought neglect three clinically signifi cant features of the phenomenon. First, not only thoughts, but also impulses and feelings, are experienced as alien. Second, only a select array of thoughts, impulses, and feelings are experienced as alien. Th ird, empathy with experiences of alienation is possible. I provide an account of disownership that does justice to these features by drawing on recent work on delusions and selfknowledge. Th e key idea is that disownership occurs (...) when there is a failure of rational control over one’s mind. Th is produces a clash between the deliverances of introspection and practical enquiry as ways of knowing one’s mind. Th is explanation places disownership on a continuum with more common aspects of our psychological life, such as addiction, akrasia, obsessional thinking, and immoral, selfi sh or shameful thoughts. I conclude by addressing objections, and exploring the relevance of my account to questions in the philosophy of psychiatry concerning the validity of our current taxonomy of symptoms, and the nature of psychiatric classifi cation.. (shrink)

In the past dozen years a number of theoretical models of schizophrenic symptoms have been proposed, often inspired by advances in the cognitive sciences, and especially cognitive neuroscience. Perhaps the most widely cited and influential of these is the neurocognitive model proposed by Christopher Frith (1992). Frith's influence reaches into psychiatry, neuroscience, and even philosophy. The philosopher John Campbell (1999a), for example, has called Frith's model the most parsimonious explanation of how self-ascriptions of thoughts are subject to errors of identification. (...) "On reflection, it also seems that this is not just one possible theory; it is the simplest theory which has any prospect of explaining the sense of agency, and we ought to work from it, introducing complications only as necessary" (1999a, p. 612). Not everyone agrees. In their recent analysis of alien voices and inserted thoughts in schizophrenia, Stephens and Graham (2000) offer a critique of Frith. Their criticism, however, although serious, is neither deep nor extensive. They outline three points. First, Frith fails to provide an adequate account of why a subject who experiences thought insertion would misattribute that thought to some other agent. Second, Frith does not clarify the distinction between thought insertion and thought influence. And third, Frith fails to explain how a subject can claim both that he is thinking the thought and that the thought is someone else's thought (Stephens and Graham.. (shrink)