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- Jose Luis Bermudez (2001). Normativity and Rationality in Delusional Psychiatric Disorders. Mind and Language 16 (5):457-493.
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An important advance in normativity research over the last decade is an increased understanding of the distinction, and difference, between normativity and rationality. Normativity concerns or picks out a broad set of concepts that have in common that they are, put loosely, guiding. For example, consider two commonly used normative concepts: that of a normative reason and that of ought. To have a normative reason to perform some action is for there to be something that counts in favour of performing that action. Likewise with ought, when there is sufficient evidence for something, one ought to believe it (at least under normal circumstances). Not all guidance need be directed towards a specific state or a specific action. Subject to the requirements of normativity, too, are relations. It is commonly believed, for example, that we ought not to hold contradictory beliefs.1 At least some of the requirements that concern relations amongst an agent’s mental states are, or seem, distinctive. Agents who fail to satisfy these requirements are considered, at least to some degree, irrational. On many current views, being irrational is distinct in some way from not being how one ought to be; rationality is a concept distinct from normativity. Much of the literature on this topic over the last decade stems from attempts to capture the characteristic features of the requirements of rationality. Two influential views in particular did much to set the agenda. The first of these two was put forward John Broome.2 His view, the particulars of which I shall discuss in more detail below, is that the requirements of rationality could be expressed using a normative relation, which he calls a ‘normative requirement’. Normative requirements are conditionals governed by an all-thingsconsidered ought. In the case of rationality, the conditional is made up entirely of mental states..
Progress in psychiatry depends on accurate definitions of disorders. As long as there are no known biologic markers available that are highly specific for a particular psychiatric disorder, clinical practice as well as scientific research is forced to appeal to clinical symptoms. Currently, the nosology of obsessive-compulsive disorder is being reconsidered in view of the publication of DSM-V. Since our diagnostic entities are often simplifications of the complicated clinical profile of patients, definitions of psychiatric disorders are imprecise and always indeterminate. This urges researchers and clinicians to constantly think and rethink well-established definitions that in psychiatry are at risk of being fossilised. In this paper, we offer an alternative view to the current definition of obsessive-compulsive disorder from a phenomenological perspective.TranslationThis article is translated from Dutch, originally published in [Handbook Obsessive-compulsive disorders, Damiaan Denys, Femke de Geus (Eds.), (2007). De Tijdstroom uitgeverij BV, Utrecht. ISBN13: 9789058980878.].
I argue that the "why be rational?" challenge raised by John Broome and Niko Kolodny rests upon a mistake that is analogous to the mistake that H.A. Pritchard famously claimed beset the “why be moral?” challenge. The failure to locate an independent justification for obeying rational requirements should do nothing whatsoever to undermine our belief in the normativity of rationality. I suggest that we should conceive of the demand for a satisfactory vindicating explanation of the normativity of rationality instead in terms of the demand for a philosophical characterisation of rationality that can do something to explain why rational requirements are the kinds of things that are, by their very nature, normative. I consider several accounts that have recently been offered – the distinctive-object account, the proper functioning account, and the subjective reasons account – and argue that none succeeds in meeting this challenge. I then sketch a new account, the “first-personal authority account”, which holds that rational requirements are what I call “standpoint-relative demands” concerning the attitudes we ought to have and form; and that complying with rational requirements is a matter of honouring our first-personal authority as agents. I suggest that the first-personal authority account does a better job of meeting the challenge.
According to one view about the rationality of belief, such rationality is ultimately nothing other than the rationality that one exhibits in taking the means to one’s ends. On this view, epistemic rationality is really a species or special case of instrumental rationality. In particular, epistemic rationality is instrumental rationality in the service of one’s distinctively cognitive or epistemic goals (perhaps: one’s goal of holding true rather than false beliefs). In my (2003), I dubbed this view the instrumentalist conception of epistemic rationality.
A new diagnostic system for organic psychiatry is presented. We first define "organic psychiatry", and then give the theoretical basis for conceiving organic psychiatric disorders in terms of hypothetical psychopathogenetic processes, HPP:s. Such hypothetical disorders are not strictly identical to the clusters of symptoms in which they typically manifest themselves, since the symptoms may be concealed or modified by intervening factors in non typical circumstances and/or in the simultaneous presence of several disorders. The six basic disorders in our system are Astheno Emotional Disorder (AED), Somnolence Sopor Coma Disorder (SSCD), Hallucination Coenestopathy Depersonalisation Disorder (HCDD), Confusional Disorder (CD), Emotional Motivational Blunting Disorder (EMD) and Korsakoff's Amnestic Disorder (KAD). We describe their usual etiologies, their typical symptoms and course, and some forms of interaction between them.
Recent views of reasons and rationality make it plausible that it can sometimes be rational to do what you have no reason to do. A number of writers have concluded that if this is so, rationality is not normative. But this is a mistake. Even if we assume a tight connection between reasons and normativity, the normativity of rationality does not require that there is always reason to be rational. The first half of this paper illustrates this point with reference to the subjective reasons account of rationality. The second half suggest that this point may have been missed because of certain similarities between the subjective reasons account and the importantly different transparency account. On the transparency account, rationality seems not to be normative. I think it is often assumed that what goes for the transparency account goes for the subjective reasons account as well. But I argue that this is a mistake. A corollary is that the subjective reasons account has an important advantage over the transparency account, given how plausible it is that rationality is normative.
Normativity involves two kinds of relation. On the one hand, there is the relation of being a reason for. This is a relation between a fact and an attitude. On the other hand, there are relations specified by requirements of rationality. These are relations among a person's attitudes, viewed in abstraction from the reasons for them. I ask how the normativity of rationality—the sense in which we ‘ought’ to comply with requirements of rationality—is related to the normativity of reasons—the sense in which we ‘ought’ to have the attitudes what we have conclusive reason to have. The normativity of rationality is not straightforwardly that of reasons, I argue; there are no reasons to comply with rational requirements in general. First, this would lead to ‘bootstrapping’, because, contrary to the claims of John Broome, not all rational requirements have ‘wide scope’. Second, it is unclear what such reasons to be rational might be. Finally, we typically do not, and in many cases could not, treat rational requirements as reasons. Instead, I suggest, rationality is only apparently normative, and the normativity that it appears to have is that of reasons. According to this ‘Transparency Account’, rational requirements govern our responses to our beliefs about reasons. The normative ‘pressure’ that we feel, when rational requirements apply to us, derives from these beliefs: from the reasons that, as it seems to us, we have.
Is rationality normative, in the sense that we ought to be rational, in our actions and attitudes? Recently, the claim that rationality is normative has faced several challenges. In this paper, I will take up these challenges, and aim to vindicate the normativity of rationality in the face of them. I will begin, in part 1, by outlining these challenges, and then discussing, and criticizing, some that have been offered to them in the literature. Then, in part 2, I will offer my own, unified response to these challenges.
In “Vindicating the Normativity of Rationality,” Nicholas Southwood proposes that rational requirements are best understood as demands of one’s “first-personal standpoint.” Southwood argues that this view can “explain the normativity or reason-giving force” of rationality by showing that they “are the kinds of thing that are, by their very nature, normative.” We argue that the proposal fails on three counts: First, we explain why demands of one’s first-personal standpoint cannot be both reason-giving and resemble requirements of rationality. Second, the proposal runs headlong into the now familiar “bootstrapping” objection that helped illuminate the need to vindicate the normativity of rationality in the first place. Lastly, even if Southwood is right—the demands of rationality just are the demands or our first-personal standpoints—the explanation as to why our standpoints generate reasons will entail that we sometimes have no reason at all to be rational.
Kanaan and McGuire elegantly describe three challenges facing the use of fMRI to uncover cognitive mechanisms. They shows how these challenges ramify in the case of identifying the mechanisms responsible for psychiatric disorders. In this commentary, I would like to raise another difficulty for fMRI that also appears to ramify in similar cases. This is that there are good reasons for doubting one of the assumptions on which many fMRI studies are based: that neural mechanisms are always and everywhere sufficient for cognition. I suggest that in the case of the mechanisms underlying psychiatric disorders, this assumption should be doubted. I do not dispute that a malfunctioning neural mechanism is likely to be a necessary component of a psychiatric disorder—as Kanaan and McGuire say, the experimental evidence from cognitive neuropsychiatry gives us excellent reasons to think that this is so. My question is whether a story only in terms of these neural mechanisms is sufficient to explain the mechanism of a psychiatric disorder. Is the reduction, projected by cognitive neuropsychiatry, of psychiatric disorders to disorders in neural functioning even in principle possible? Drawing on recent concerns about the location of mental states, I argue that such a reduction is likely to fail. Even if the considerable problems raised by Kanaan and McGuire for fMRI could be addressed, we have no reason to think that the mechanisms involved in psychiatric disorders are entirely neural, and that fMRI, or even a perfect science-fiction brain-scanner, would be capable of uncovering them. Psychiatric disorders, like numerous other cognitive processes, are liable to cross the brain–world boundary in such a promiscuous way as to be resistant to neural reduction.
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