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- Tim Thornton (2002). Thought Insertion, Cognitivism, and Inner Space. Cognitive Neuropsychiatry.Introduction. Whatever its underlying causes, even the description of the phenomenon of thought insertion, of the content of the delusion, presents difficulty. It may seem that the best hope of a description comes from a broadly cognitivist approach to the mind which construes content-laden mental states as internal mental representations within what is literally an inner space: the space of the brain or nervous system. Such an approach objectifies thoughts in a way which might seem to hold out the prospect of describing the ''alienated'' relation to one's own thoughts that seems to be present in thought insertion.1 Method. Firstly, I examine the general structure of cognitivist accounts of intentional or content-laden mental states. I raise the general difficulty of explaining how free-standing, and thus world-independent, inner states can still have bearing on the outer world. Secondly, I briefly examine Frith's model for explaining thought insertion and other passivity phenomena by postulating a failure of an internal monitoring mechanism of inner states. I question what account can be given of non-pathological cases and raise two specific objects. Results. Cognitivist accounts of the mind face a general, and possibly insuperable, challenge: explaining the intentionality of mental states in non-intentional, non- question-begging terms. There have so far been no satisfactory solutions. Cognitivist accounts of passivity phenomena in terms of a failure of internal monitoring face two objections. Firstly, accounting for non-pathological cases generates an infinite regress. Secondly, no account can be given of the paradoxical nature of utterances of the form of Moore's paradox: ''it is raining but I do not believe it''. Conclusions. A cognitivist approach presents an alienated account of thought in normal, non-pathological cases and is no help in accounting for thought insertion.
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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..
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.
Phenomenally, we can distinguish between ownership of thought (introspective awareness) and authorship of thought (an awareness of the activity of thinking), a distinction prompted by the phenomenon of thought insertion. Does this require the independence of ownership and authorship at the structural level? By employing a Kantian approach to the question of ownership of thought, I argue that a thought being my thought is necessarily the outcome of the interdependence of these two component parts (ownership and authorship). In addition, whilst still employing a Kantian approach, I speculate over possible mechanisms underlying the phenomenon of thought insertion.
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.
The central and defining characteristic of thoughts is that they have objects. The object of a thought is what the thought concerns, or what it is about. Since there cannot be thoughts which are not about anything, or which do not concern anything, there cannot be thoughts without objects. Mental states or events or processes which have objects in this sense are traditionally called ‘intentional,’ and ‘intentionality’ is for this reason the general term for this defining characteristic of thought. Under the heading of ‘thought’ we can include many different kinds of mental apprehension of an object—including relatively temporary episodes of contemplating or scrutinising, as well as persisting states like beliefs and hopes which are not similarly episodic in character. These are all ways of thinking about an object. But even construing ‘thought’ in this broad way, it is clear that not all mental states and events are thoughts: sensations, emotions and perceptual experiences are not thoughts, but they are also paradigmatically mental. Do these mental states and events have objects too? Or are there mental states and events which have no objects? 1 The view that all mental phenomena have objects is sometimes called ‘Brentano’s thesis’ or the thesis that intentionality is the ‘mark’ of the mental.1 Sometimes the name ‘Brentano’s thesis’ is given to certain other views too: for example, to the view that only mental phenomena are intentional, or that all and only mental phenomena are intentional, or that nothing physical is intentional. These views are, however, distinct from the view that all mental phenomena are intentional. For holding that all mental phenomena are intentional does not imply that nothing nonmental is.2 And holding that all mental phenomena are intentional does not imply (pace Dennett 1969) that nothing physical is intentional; since if physicalism were true, then the mental itself would be physical. What I am concerned with here, however, is the idea that all mental states are intentional, regardless of whether anything else is, or whether anything physical is. In recent years there has been considerable debate over whether all mental states are intentional; in particular, over whether all conscious mental states are intentional or entirely intentional.
I offer an account of thought insertion based on a certain model of self-knowledge. I propose that subjects with thought insertion do not experience being committed to some of their own beliefs. A hypothesis about self-knowledge explains why. According to it, we form beliefs about our own beliefs on the basis of our evidence for them. First, I will argue that this hypothesis explains the fact that we feel committed to those beliefs which we are aware of. Then, I will point to one feature of schizophrenia that suggests that subjects with thought insertion may not be able to know their own beliefs in that way.
“There is a thought in me which is not mine”. This is, roughly, the complaint of patients suffering from thought insertion. This first-rank symptom of schizophrenia is particularly puzzling for it seems to challenge a very well entrenched principle to the effect that our conscious thoughts are necessarily subjective, that we necessarily have a sense of ownership for them (Cartesian principle).
Despite their wide disagreement, classical accounts of the symptom save the Cartesian principle by interpreting thought insertion as a problem of the sense of agency for thought rather than as a problem of subjectivity. I argue that those accounts fail and that thought insertion really is a problem of subjectivity. We can nevertheless save the Cartesian principle if we realize that the presupposition, shared by classical accounts, to the effect that inserted thoughts are unequivocally conscious, is ill-grounded. Distinguishing between reflexive awareness and phenomenal consciousness, and relying on a careful comparison between thought insertion and other pathologies of agency, I propose a novel account of the symptom which is compatible with the Cartesian principle and which allows to take the patient’s reports seriously. This account, I conclude, opens up novel perspectives on the comprehension of schizophrenia, and reveals a common confusion between two different dimensions of the mind.
Consciousness and intentionality are perhaps the two central phenomena in the philosophy of mind. Human beings are conscious beings: there is something it is like to be us. Human beings are intentional beings: we represent what is going on in the world.Correspondingly, our specific mental states, such as perceptions and thoughts, very often have a phenomenal character: there is something it is like to be in them. And these mental states very often have intentional content: they serve to represent the world. On the face of it, consciousness and intentionality are intimately connected. Our most important conscious mental states are intentional states: conscious experiences often inform us about the state of the world. And our most important intentional mental states are conscious states: there is often something it is like to represent the external world. It is natural to think that a satisfactory account of consciousness must respect its intentional structure, and that a satisfactory account of intentionality must respect its phenomenological character.With this in mind, it is surprising that in the last few decades, the philosophical study of consciousness and intentionality has often proceeded in two independent streams. This wasnot always the case. In the work of philosophers from Descartes and Locke to Brentano and Husserl, consciousness and intentionality were typically analyzed in a single package. But in the second half of the twentieth century, the dominant tendency was to concentrate on onetopic or the other, and to offer quite separate analyses of the two. On this approach, the connections between consciousness and intentionality receded into the background.In the last few years, this has begun to change. The interface between consciousness and intentionality has received increasing attention on a number of fronts. This attention has focused on such topics as the representational content of perceptual experience, the higherorder representation of conscious states, and the phenomenology of thinking. Two distinct philosophical groups have begun to emerge. One group focuses on ways in which consciousness might be grounded in intentionality. The other group focuses on ways in which intentionality might be grounded in consciousness.
Philosophers are interested in the phenomenon of thought insertion because it challenges the common assumption that one can ascribe to oneself the thoughts that one can access first-personally. In the standard philosophical analysis of thought insertion, the subject owns the ‘inserted’ thought but lacks a sense of agency towards it. In this paper we want to provide an alternative analysis of the condition, according to which subjects typically lack both ownership and authorship of the ‘inserted’ thoughts. We argue that by appealing to a failure of ownership and authorship we can describe more accurately the phenomenology of thought insertion, and distinguish it from that of non-delusional beliefs that have not been deliberated about, and of other delusions of passivity. We can also start developing a more psychologically realistic account of the relation between intentionality, rationality and self knowledge in normal and abnormal cognition.
Discussion of Tim Thornton, Thought insertion, cognitivism, and inner space
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