Who would buy a book full of interviews that can be accessed online? Perhaps only some bibliophile readers. Hence, a quick glance at "Conversations in Critical Psychiatry"—consisting of a significant portion of interviews with philosophers, clinicians, and researchers previously published in Psychiatric Times—might lead one to conclude that this volume is of little interest. But such a conclusion would be premature.

Infant carrying provides an important context for cognitive development and social learning in the first year of life. It enables children to perceive the world from a perspective similar to that of their parents. Lateral carrying provides children with new experiences because it gives them access to a broader range of objects. It also gives them better access to socially significant stimuli and aspects of the environment that are relevant to their parents. Thus, it can significantly contribute to learning about (...) objects and their affordances as well as agents, their actions, and mental states. The paper argues that lateral carrying not only contributes to the development of skills related to the emergence of shared intentionality but may also play an important role in the development of the understanding of the we-mode and perhaps also in the formation of associations in the mirror neuron system. The final sections of the article offer suggestions for further research. (shrink)

Post-traumatic growth (PTG) has been a key topic of research by psychologists over the last 25 years. But the idea that a person can benefit from adversity has been around for much longer, and is a stable in many mainstream cultures, and in theological and recent philosophical thinking. However, there has been, to date, little overlap between psychological research into PTG, and philosophical thinking about similar ideas. This is unfortunate, both because philosophers are not taking up potential sources of empirical (...) support, and because psychological research into PTG is subject to a range of criticisms and concerns. In this paper, we aim to show how philosophical thinking can address some of these, and as a result put psychological research into PTG on a firmer theoretical footing. (shrink)

Talk of ”mental representations” is ubiquitous in the philosophy of mind, psychology, and cognitive science. A slogan common to many different approaches says that representations ”stand in for” the things they represent. This slogan also attaches to most talk of "internal models" in cognitive science. We argue that this slogan is either false or uninformative. We then offer a new slogan that aims to do better. The new slogan ties the role of representations to the cognitive role played by the (...) deliverances of perception. After clarifying the new slogan and warding off some misunderstandings, we discuss how the new slogan still captures the seed of truth in the old, point to some specific misunderstandings that can be avoided, and then suggest some ways that the new slogan is useful in the project of giving a satisfying philosophical theory of representation. (shrink)

Psychology and philosophy have maintained a special relationship since very long ago. Nowadays, many psychologists stay away from philosophy and focus on the empirical methods in their studies. The...

Siegel recently distinguishes between seven possible ways in which our perceptual access to social information can be biased by flawed practice of either individuals or social structures, two of which, namely attention and cognitive penetration, imply that it is the content of perception, as opposed to that of judgments, that is biased. Both attention and cognitive penetration, however, rely on cognitive states imposing top-down influences on perceptual states. As such, perceptual bias resulting from them is to a large extent merely (...) a derivation of cognitive bias. In this paper, I propose another way in which our perception can be biased, namely, as the result of faulty assumptions made by the visual system. Furthermore, I argue that in contrast to cognitive penetration and attentional direction, perceptual bias arising in this way is fundamentally perceptual and does not depend on inputs from one’s cognitive system. This sort of perceptual bias, if it exists, would have important implications for how we conceptualize social bias and pose special challenges to traditional interventions designed to counteract bias. (shrink)

Six people were interviewed about the possibility of becoming posthumous body donors. Interview transcripts were analyzed using interpretative phenomenological analysis. Individual-level analysis suggested a common interest in Personhood Concerns and a common commitment to Enlightenment Values. Investigations of these possible themes across participants resulted in identification of two sample-level themes, each with two subthemes: Autonomy, with subthemes of agency and consent, and Rationality, with subthemes of knowledge/epistemology and materialism/ontology. This paper concentrates on the former. Consent for posthumous body donation was (...) felt to sometimes fall short of adequately identifying donors’ preferences about what happened after consent was given, even with respect to actions for which consent established permission. In turn, paucity of information about donors’ preferences limited others’ ability to act as proxy agents to facilitate donors’ posthumous autonomy. Thus, while consent may curtail violations of people’s autonomy by authorizing actions for which permission has been established, it may fall short of facilitating their autonomy in ways that might be possible with greater knowledge of those people’s desires. Alternative methods of establishing consent are explored that might better-determine people’s desires and thereby improve others’ ability to act as proxy agents for them to facilitate their subsequent (even posthumous) autonomy. (shrink)

A distinguishing feature of neural computation and information processing is that it fits models that describe the most efficient strategies for performing different cognitive tasks. Efficiency determines a distinctive sense of teleology involving optimal performance and resource management through a specific strategy. I articulate this kind of teleology and call it efficient teleological function. I argue that efficient teleological function is compatible with mechanistic explanation and, most likely, neural computational mechanisms are efficiently functional in this sense. They are members of (...) a distinctive class of computational mechanisms whose efficiency is intertwined with their functionality. This is illustrated by widely discussed approaches to mind, such as Barlow’s efficient coding hypothesis or the ones associated with the so-called “predictive mind”, which propose that the brain employs highly efficient coding strategies to save energy resources that are critical to the organism’s survival. (shrink)

The Culpable Control Model assumes that causal judgments are irrational: a negative evaluative reaction to an agent would lead individuals to overestimate his causal contribution to a harm. However, the extent to which these judgments deviate from criteria of rationality remains unclear. The two present studies aimed at investigating conditions under which this effect occurs. Participants red a vignette in which the evaluative reaction was operationalized through the agent’s motives (blameworthy, laudable). We also varied the causal link between the agent’s (...) action and the outcome (strong, weak, preempted). In both studies, we found that negative motives influenced causal judgments when a strong action-outcome link could be established. In Study 2, we replicated the effect of motives on causal judgment in the weak link condition. However, participants consistently judged the agent as less causal when the link was weak (vs. strong), regardless of the agent’s motives. These findings show that both the presence and the strength of the actual causal link between the action and the outcome moderate the detrimental effect of negative evaluative reactions on causal judgments. Thus, common sense causal judgments seem to deviate relatively little from the criteria of rationality. (shrink)

Orange heart shapes are commonly perceived as slightly reddish, which is an example of the memory color effect (MCE). Given that the MCE is a modulation of visual memories of typical colors of familiar objects, it can be considered to be a top-down effect. Whether cognitive penetration can explain MCEs has been actively debated since Macpherson argued that the belief that hearts are red alters orange perception. This paper aims to provide a credible explanation of the MCE that is consistent (...) with scientific studies. I first prove that Macpherson’s theory is not properly supported by the psychological evidence that she provides. I also show that her model contradicts a report on the neural correlate of the MCE. Next, I examine color constancy, which enables the perception of colors as constant under various illuminations, as a possible noncognitive principle for the MCE. The relationship between them, however, is not well established. Using statistical analyses of scenes around us, Purves suggests that perception is determined by the most frequent percepts. I argue that Purves’ view better explains the noncognitive aspects of visual memory and is consistent with the finding of the neural correlate of the MCE. (shrink)

We argue that objectivity is acquired by learning to refer to particular situations, that is, by developing episodicity. This contrasts with the widespread idea that genericity is crucial in developing humans’ ability to conceive of an objective world. According to the collective intentionality account, objectivity is acquired by contrasting one’s particular perspective in the “here and now” with a generic group perspective on how things are generally. However, this line of argument rests on confusing two independent notions of genericity: social (...) and worldly genericity. Holding these two notions apart shows that there is no coherent developmental route from episodicity to objectivity via genericity. In effect, the collective intentionality account presupposes objectivity. Alternatively, episodicity may develop by enculturation into the common practice of spatial-indexical use. This ability establishes an initial, socially shared spatiotemporal reference system comprising the basis for objectivity. (shrink)

“The British people relish a good hero and a good hate,” proclaimed Alfred Harmsworth, who in 1896 brought cheap, jingoistic journalism to Britain with the Daily Mail, which quickly became the nati...

This paper offers an overview of the philosophical work on epistemic injustices as it relates to psychiatry. After describing the development of epistemic injustice studies, we survey the existing literature on its application to psychiatry. We describe how the concept of epistemic injustice has been taken up into a range of debates in philosophy of psychiatry, including the nature of psychiatric conditions, psychiatric practices and research, and ameliorative projects. The final section of the paper indicates future directions for philosophical research (...) of epistemic injustices and psychiatry, concerning neurocognitive disorders, identity prejudices in psychiatric illness, concepts of epistemic privilege in psychiatry, and the prospects for combining phenomenological psychopathology and epistemic justice. We argue that much remains to be done in the conceptualization of these epistemic injustices and suggest that this future work should be multidisciplinary in character and sensitive to the phenomenology of psychiatric conditions. (shrink)

In the 2020 Yale Law Journal article, “Commonsense Consent,” Roseanna Sommers argues that deception is compatible with the layperson’s intuitive sense of consent. That is, unlike the canonical understanding of consent defended by legal scholars and philosophers, the notion of consent defended by the folk is not invalidated by deception. In this study, I find that while respondents do appear to attribute consent to victims of deception, they do so in a limited number of contexts – i.e., they attribute de (...) re consent to victims of de dicto deception and attribute de dicto consent to victims of de re deception. When the two varieties of consent and deception are properly disambiguated and matched type for type however, we see the reverse phenomenon – i.e., participants refrain from attributing de dicto consent to de dicto deception and refrain from attributing de re consent to de re deception. If this is right, rather than saying, as Sommers does, that deception generally fails to invalidate commonsense consent, we should refine our understanding of commonsense consent to include two varieties of consent, each of which is in fact invalidated by its own variety of deception. (shrink)

The last few years have seen a marked increase of interest in the ethics of psychotherapy. As the field of mental health has recently taken on a new level of prominence, renewed commitment to the ethical analysis of psychiatric and psychological treatment is clearly required. In this review essay, we survey recent work on psychotherapy ethics, taking a critical yet generally sympathetic view of the new literature. There are important considerations that remain neglected or overlooked entirely, in our view, and (...) several substantive and methodological trends are in need of diagnosis and critical response. We structure the discussion around several themes, including the inherently moral nature of psychotherapy, the heterogeneity of such practices, the significance of social, cultural, and historical context, and, finally, questions concerning prevailing methodological assumptions. (shrink)

It is often assumed that disagreement only occurs when there is a clash (e.g., inconsistency) between beliefs. In the philosophical literature, this “narrow” view has sometimes been considered the obvious, intuitively correct view. In this paper, we argue that it should not be. We have conducted two preregistered studies gauging English speakers’ intuitions about whether there is disagreement in a case where the parties have non-clashing beliefs and clashing intentions. Our results suggest that common intuitions tell against the default view. (...) Ordinary speakers describe clashes of intentions as disagreements, suggesting that the ordinary concept of disagreement is “wide” in that it extends beyond beliefs. (shrink)

This paper explores whether human proactivity can be considered an expression of free will. The discussion involves two paradigms, which are mutually complementary and encompass psychological proactivity and reactivity. Both paradigms raise the question of linear and non-linear determinism, which inevitably leads to the issue of free will. The analysis attempts to find a compromise between linear and non-linear determinism through the approach of human dialectical complexity (Lebed & Bar-Eli, 2013). This refers to the relationships of two types of complex (...) subsystems within a human: the perceptual-motor dynamic system (PMDS), which is mostly determined by linear impacts and expressed through reactive behavior, and the “free-will”Footnote1 complex system (FCS), which is mostly determined by non-linear redundant determinism and expressed through proactive dynamics. In summary, it is concluded that there cannot be a categorical assertion of the permanent existence of free will in human functioning. The human dialectical complexity expressed by both proactivity and reactivity causes the “floating” presence of free will depending on the prevalence of proactive control factors and the non-linear determination of a living human system. (shrink)

Affective realism, roughly the hypothesis that you “perceive what you feel”, has recently been put forward as a novel, empirically-backed explanation of police shooting errors. The affective states involved in policing in high-pressure situations result in police officers literally seeing guns even when none are present. The aim of this paper is to (i) unpack the implications of this explanation for assessing police culpability and (ii) determine whether we should take these implications at face value. I argue that while affective (...) realism stands to diminish, if not eliminate, the moral and legal responsibilities of officers who have made shooting errors, the empirical data itself does not directly support such a radical rethink of police culpability. (shrink)

Guy Dove’s book is about the puzzle of how our minds can represent and process abstract concepts. Abstract concepts have posed a problem for the influential view of the embodied mind and grounded c...

In this paper we develop test cases to adjudicate between dual-process and the causal mapping explanations of order effects. Using dilemmas with minimized emotional force, we explore new conditions for order effects to occur. Overall, the results support causal model theory. We produced novel evidence that order effects extend not only to cases with low emotional engagement, but also to specialized judgments about whether an action violates a rule. However, when objects are sacrificed instead of persons the order effect either (...) disappears or becomes symmetrical, contrary to previous theorizing that it is an asymmetrical transfer effect. Causal model theory needs to be developed to include interplays between the moral status of sacrificed entities and computational models of causal mapping. Symmetric order effects remain a puzzle, motivating future research. Though we do not know how to explain them yet, we discuss how symmetric order effects can influence policy decision making. (shrink)

Promoting honesty is considered a key endeavor in the betterment of our societies. However, our understanding of this phenomenon, and of its evil twin, dishonesty, is still lacking. In this text, we analyze the main tenets assumed by empirical models of vigilance and sanctions. We approach our analysis in three sections. Initially, we investigate the concept of honesty as assumed by commonly used methodologies in studying honesty. This then leads us to identify the previously overlooked but essential element of epistemic (...) privilege in characterizing honesty. In the third part, we delve into how current explanatory models of honesty lack sufficient consideration of epistemic privilege, resulting in incomplete narratives about honesty. Our analysis of the extant literature suggests that both internal (including the self-concept maintenance theory) and external vigilance models fall short of explaining honesty and dishonesty because of both conceptual problems and empirical inadequacy. Identifying these shortcomings allows us to suggest some possible directions of research. (shrink)

Whether people possess free will has been a long-lasting philosophical debate. Recent attention in social psychology has been given to the behavioral consequences of believing in free will. Research has demonstrated that manipulating free will beliefs has implications for many social behaviors. For example, free will belief manipulations have been associated with cheating, aggressiveness, and prejudice. Despite this work, some of these findings have failed to replicate. Testing theoretical predictions, such as whether believing in free will influences behavior, depends on (...) theoretical, auxiliary, statistical, and inferential assumptions (TASI). In this paper we apply the TASI category of assumptions to the free will belief debate. In doing so we demonstrate why these assumptions should be considered when appraising the influence of free will belief manipulations on free will beliefs and behavior. To provide a nuanced view of free will beliefs, we believe researchers should pay careful attention to these critical assumptions. (shrink)

An influential argument is that mental processes can be explained at three different levels of analysis: the functional, algorithmic, and implementation level. Identity attribution (the process whereby an identity is attributed to another individual or to the self) has been rarely explored at the functional level. To address this, here I propose a theory of identity attribution grounded on Bayesian inference, being the latter a well-established functional perspective in cognitive science. The theory posits that an identity is inferred based on (...) observations about a target’s features, about the context, and about motivational factors. This inference can be made based upon multiple sources of observations, with prior beliefs becoming more prominent when observations are fewer in number. The theory offers an interpretation of key processes driving identity attribution, potentially providing a platform for integrating different perspectives on identity in psychology and sociology. (shrink)

Play is a frequent and relevant activity during childhood, and developmental psychologists agree that it offers a unique window on development. Play, however, remains a fuzzy concept, and difficulties persist in its definition, often leading to obstacles in building and comparing experimental studies. This may be due to widespread tendencies to define play by referring to non-observable inner states, to consider playing something that occurs in the head rather than in-the-world and to overreliance on developmental stages. Enactive approaches to child (...) play have instead recently stressed the importance of play contexts, considering child play an activity in-the-world rather than a mental state, thereby de-intellectualizing play and pretense. Along these lines, in this paper the authors propose a novel approach to the definition of play types by considering the roles of organism, environment, and task constraints, within the framework of Material Engagement Theory. Focusing on the material world surrounding the child and the interactions which characterize play, we critically review the strategy of resorting to non-observable categories in the study of play, and we propose a new model (the Kaleidoscope Model) for play analysis. (shrink)

While research on Attention Deficit Hyperactivity Disorder (ADHD) has traditionally focused on cognitive and behavioral deficits, there is increasing interest in exploring possible resources associated with the disorder. In this paper, we argue that the attention-patterns associated with ADHD can be understood as expressing an alternative style of inquiry, or “zetetic” style, characterized mainly by a lower barrier for becoming curious and engaging in inquiry, and a weaker disposition to regulate curiosity in response to the cognitive and practical costs associated (...) with inquiry. Exploring this zetetic style from an epistemological perspective, we show that it is often epistemically rational and can be advantageous in important respects. We close by suggesting that the very aspects of the zetetic style that might at times render it disadvantageous from the point of view of individual subjects with ADHD, will often confer epistemic benefits to the social group that the subjects are part of. (shrink)

This paper investigates the relevance of social roles and hierarchies for the attribution of blame and causation in five culturally different countries, namely China, Germany, Poland, the United Arabic Emirates, and the United States of America. We demonstrate that in all these countries, hierarchical differences between the social roles occupied by two agents and associated differences in duties to care for others affect how these two agents are morally and causally judged when they make a decision together. Agents higher in (...) a hierarchy are attributed more blame and considered more causally responsible for an action’s consequences. We also demonstrate that the degree of this effect depends on culture-specific differences in how hierarchies are conceived. (shrink)

Practical reasoning is reasoning about what to do. Practical wisdom is the traditional ideal of practical reasoning associated with virtue ethics. Practical wisdom requires the knowledge and skills necessary to act rightly across a wide range of situations. Critics allege that this notion does not cohere well with what contemporary cognitive science tells us about the production of human behavior. After briefly discussing these criticisms, I sketch an alternative account of these cognitive processes that I call affective engine theory. I (...) then discuss a normative conception of practical reasoning that complements this account. Finally, adopting an approach according to which the virtues are those character traits necessary for excellence in practical reasoning, I argue that these accounts can provide the basis for a nontraditional theory of virtue. I discuss three traits that are plausible candidates for virtues on such an account. (shrink)

Many classical approaches in the area of phenomenological pscyhopathology focus on structures of lived experience of mental illness and overlook the role social context plays in the formation of lived experiences. The paper addresses this issue and contributes to recent research which has pointed out that there is a need for an approach to mental health which investigates the role of context in shaping lived experiences. We propose a conception of contextuality (or situatedness) which we develop in terms of two (...) main characteristics: intersectionality and social relationality of the human condition. We take context to be shaped by social interdependence and by the intersection of multiple factors including gender, race, ethnicity, class, socio-economic status and power relations. We develop this analysis in relation to substance misuse, refer to, and compare, certain case studies and perspectives from Brazil to illustrate our approach which can, however, be applied to other areas of mental health. We suggest that the proposed contextual approach is crucial for an in-depth understanding of psychopathology from a phenomenological perspective and in relation to contemporary ethico-political issues concerning social differences and inequalities in mental health. (shrink)

Computational psychiatry is a quickly evolving discipline that aims to understand psychopathology in terms of computational, hence algorithmic processes. While cognitive phenomena, especially beliefs or ways of “reasoning”, can more easily be formalized, meaning re-described in mathematical terms and then entered computational models, there is speculation as to whether phenomenology might be formalizable too. In other words, there are speculations in terms of what aspects of the human experience, rather than specific cognitive processes alone, can enter computational models. Here, we (...) explore the possibility of formalizing and modeling a phenomenological account of schizophrenia, using the concepts of “minimal self” and “intentionality”. To test the applicability of these concepts for formalization and modeling, we first aim to clarify some misunderstandings around the very nature of minimal self and intentionality, namely: whether these concepts entail a “minimal” sense of self, or might be better described in “transparent” sensory-integration and information processing terms. We then try to apply the concepts to a computational logic based on Marr’s levels of description, a fundamental account for understanding the rationale of computational psychiatry. Overall, we are asking via what conditions phenomenology can enter a computational logic. (shrink)

Despite the relevance of silence in several psychopathologies, first-person perspectives on silence have been largely neglected in the phenomenological scholarship on those conditions. This paper proposes a phenomenological framework for addressing this neglect and demonstrates its usefulness through a case study of empty silence, an experience which can be found in many first-person accounts of depression. The paper begins by surveying research on silence in depression in mental health research and phenomenological psychopathology. Drawing on the thought of Merleau-Ponty, it then (...) outlines a phenomenological framework for explicating the structure of silence experiences in psychopathology. Finally, it applies this framework to articulate the experiential structure and implications of empty silence, with a particular emphasis on the bodily doubt that can flow from repeated experiences of empty silence. (shrink)

Survivors of trauma commonly report feeling as though a part of themselves has died. This article provides a theoretical interpretation of this phenomenon, drawing on Waldenfels' notion of the split self. We argue that trauma gives rise to an explicit tension between the lived and corporeal body which is so profoundly distressing that it can be experienced by survivors as the death of part of oneself. We explore the ways in which this is manifest in the posttraumatic phenomena of dissociation; (...) indescribability; and the fragmentation and repetition of time. Acknowledging that the traumatic loss of part of oneself involves significant grief, we then consider whether the bereavement literature might be helpfully applied. We focus specifically upon the continuing bonds model, which emphasizes an ongoing and meaningful relationship with the deceased through an active process of memorializing. In considering how this might be appropriated to the death of the self in trauma, we suggest that the development of an intrapersonal relationship between parts lost and living might, over time, offer a unique way in which to adapt to loss and approach the future. (shrink)

Understanding alterations of selfhood (termed self-disorders or self-disturbances) that are considered typical of the schizophrenia-spectrum is a central focus of phenomenological research. The currently most influential way of phenomenologically conceiving self-disorders in schizophrenia is as disorders of the so-called most basic or “minimal self”. In this paper, we first highlight some challenges for the minimal self-view of self-disorders, focusing on (1) problems arising from the supposedly “essential” or “universal” nature of minimal self with respect to phenomenal awareness and (2) the (...) critical implications of alterations of self-experience in schizophrenia that involve heightened or exaggerated sense of self. In the second part, we tentatively explore how a (non-egological) transparency-view of consciousness may offer an alternative way of understanding the experiential abnormalities involved in self-disorders in schizophrenia. We discuss how such a transparency-view (1) may account for loss-of-self experiences; (2) is compatible with the key notion of “hyper-reflexivity”; and (3) can help explain instances of self-disorder involving increased sense of self. In conclusion, we consider some possible advantages of this alternative view for research on self-disorders and clinical approaches. (shrink)

Evaluativists hold that psychiatric disorders have a factual and evaluative dimension and recognize that psychiatric patients have an active role in shaping their symptoms, influencing the development of their disorders, and the outcome of psychiatric therapy. This is reflected in person-centered approaches that explicitly consider the role of values in psychiatric conceptualization, classification, and decision-making. In this respect, in light of the recent partnership between Fulford’s value-based practice (VBP), and Stanghellini’s phenomenological-hermeneutic-dynamical (P.H.D) psychotherapy method, this paper presents a comparative analysis (...) of two person-centered approaches to psychiatric care currently discussed within the literature. I claim that while these approaches share some core ideas, they also present important divergences concerning their axiological underpinnings, which could potentially compromise their partnership. In particular, by exploring their theoretical, practical, and ethical dimensions, I show that these models have different conceptions of what values are, which, in turn, affect their understanding of how values relate to the person and how clinicians can identify them. Finally, I argue that although Fulford’s and Stanghellini’s approaches are prima facie compatible and complementary, developing a “combined analytic-plus-phenomenological form of values-based practice” should address fundamental conceptual issues if it is to become a consistent and coherent method for psychiatric care. (shrink)

Autistic people often camouflage, i.e. they adopt certain behaviors in order to fit in in neurotypical environments. Autobiographical accounts suggest that autistic trans people experience camouflaging in a unique, more complex and often heightened way than cis autistic people, and this has not been studied. They have autistic traits to mask, as well as gendered traits, in a hostile neuronormative and cisnormative world. This intersection of experience is worthy of exploration, not least because this group of people are typically misunderstood (...) and silenced, as well as being particularly at risk of the mental distress that can come from camouflaging. In this paper I discuss autistic trans people’s accounts of camouflaging and begin a preliminary phenomenological analysis. I draw primarily from Simone de Beauvoir’s concept of “doubling”, whereby (cis) women experience being both oneself and the image of oneself, under patriarchal objectification. One can argue that autistic people are similarly “doubled” when camouflaging, experiencing their neurodivergent selves as well as their more neurotypical presentation. Going beyond de Beauvoir, it can be further argued that many trans people experience “tripling” and therefore that trans autistic people experience being at least “quadrupled” if not “quintupled”. (shrink)

In this paper, I will argue for two interrelated theses. First, if we take phenomenological psychopathology seriously, and want to understand what it is like to undergo various psychopathological experiences, we cannot treat madpeople’s testimony as mere data for sane clinicians, philosophers, and other scholars to analyze and interpret. Madpeople must be involved with analysis an interpretation too. Second, sane clinicians and scholars must open their minds to the possibility that there may be experiences that other people have, which they (...) nevertheless cannot conceive of. I look at influential texts in which philosophers attempt to analyze and understand depersonalization and thought insertion. They go astray because they keep using their own powers of conceivability as a guide to what is or is not humanly possible to experience. Several experiences labeled inconceivable and therefore impossible by these philosophers, are experiences I have had myself. Philosophers and others would be less likely to make this mistake if they would converse and collaborate more with the madpeople concerned. When this is not feasible, they should nevertheless strive to keep an open mind. Fantastical fiction may have a role to play here, by showing how bizarre experiences may nevertheless be prima facie conceivable. (shrink)

Patients suffering from delusions of thought insertion (TI) report that external agents of different nature have placed thoughts into their minds. The symptom involves distressing feelings of intromission and exposition, loss of mental privacy, diminished ego boundaries, and a – often neglected – peculiar “physicality”. A dominant approach within cognitive sciences characterizes TI as involving alterations in the experience of being the author of certain thoughts. For the advocates of this so-called Standard Approach to TI, the absence of a sense (...) of agency for certain thoughts would lead to their externalization, this explaining the general structure of the clinical reports. In this paper, I problematize the phenomenological picture of everyday thoughts that the standard approach adopts when trying to make sense of TI. I claim that the standard approach neglects two more fundamental aspects of TI, namely the multimodal nature of thinking in psychosis and the deeply social dimension of the phenomenology of delusions in schizophrenia. After this, a broader descriptive phenomenological characterization of TI is provided. Finally, I establish some connections between the characterization of TI developed here and current research in social perception and clinical practice. (shrink)

In his account of phenomenological psychopathology, Karl Jaspers advocates for the central role of subjective experience, something which he maintains cannot be accessed through intellectual effort, but through “empathic understanding” alone. In contradistinction to Jaspers’ account, I propose that phenomenology, as a process of inquiry and investigation, is fundamentally epistemological. Accordingly, I offer an intellectual virtue characterization of phenomenological psychopathology, using open-mindedness to illustrate the close conceptual links between the phenomenological endeavor and the intellectual virtues. By introducing the intellectual virtue (...) lexicon into the phenomenological psychopathology discourse, I then offer three preliminary recommendations for the training and education of phenomenological clinicians. Centering the educational recommendations on the psychiatric interview, I suggest that good questioning, listening, and reflecting necessarily require cultivation for intellectually virtuous phenomenological inquiry. (shrink)

The current paradigm of mental health has fallen short in its promises to deliver better care and quality of life for those who lives with mental illness. Recent works have expressed the need for more comprehensive frameworks of research, in which phenomenology emerges as a fundamental tool for a new wave interdisciplinary studies with the humanities. In line with this project, this article hopes to explore the relation between education and phenomenologically oriented psychotherapy, through the work of Brazilian educator Paulo (...) Freire. First, we will briefly expose Freire’s biography and main ideas (such as the “banking model of education” and the creation of “culture circles”), showing how they can be useful during the clinical encounter. We will also highlight the importance of dialogical psychotherapy during situations of injustice and oppression. Finally, we will provide some insights that can help build a new paradigm of mental health that is based on a “praxis of freedom”, whether in research or clinical practice. We call this proposal a “Psychotherapy of the Oppressed”. (shrink)

This article explores a literary tradition situated at the intersection of scientific reports, memoirs, and creative writing, termed “clinical narrative.” This genre offers a profound approach to the painful aspects of conscious experience, particularly the phenomenological states associated with mental illness and brain disease, seen as unsettling landscapes of phenomenal experience. Through case studies providing multifaceted viewpoints – first-person, second-person, and third-person perspectives – we argue that clinical narratives are valuable resources for a transepistemic study of consciousness. By examining clinical (...) conundrums such as somatic and nihilistic delusions, and anosognosia, we highlight the importance of detailed phenomenological, hermeneutic, and narrative accounts while acknowledging the significance of subpersonal, mechanistic models from cognitive and affective neuroscience. The tradition embodies the tension between the diverse perspectives in the field of mental health, including stories that directly challenge the medical discourse. However, the narrative arts can act as mediators or even peacemakers, by fostering an understanding between the opposing views. Stories are open to multiple interpretations, preserving the diversity of discourses on human meaning and avoiding the imposition of monolithic versions of our humanness. (shrink)

The article aims at expanding the horizon of phenomenological psychopathology of depression from a social theoretical perspective. Based on Merleau-Ponty’s phenomenological ontology, in the first section, depression is reinterpreted as a disruption of chiasm: it is not merely the illness of the body, the disorder of the mind, or a specific form of social suffering, but the interrelated distortion of time consciousness, agency, and interaffectivity. The phenomenological clarification of these components provides opportunity for connecting sociological and psychopathological insight. In the (...) second part, contemporary critical theories of acceleration, globalization, biopolitics, and system colonization are reinterpreted to highlight the structural and cultural context of late modern time consciousness, agency, and interaffectivity. In the third section, it is analyzed, how these social constituents shape the space of contemporary socialization processes, including the emergence of those intersubjective distortions, which potentially affect the entirety of chiasm in a depressive way. In the final section, the conclusions for therapy are explored, including the potentials for expanding the epistemological, substantive, and emancipatory horizon of phenomenological psychopathology. (shrink)

The ways in which we attempt to make sense of psychiatric illness have been slow to progress. Over the last several decades, clinicians and researchers have inherited one-size-fits-all diagnostic f...

In this article, we investigate how distressing background feelings can be subject to social injustice. We define background feelings as enduring feeling states that condition our perceptions of everyday situations, interpersonal dynamics, and the broader social milieu. While phenomenological psychopathology has long addressed such affective phenomena, including anxiety, guilt, and feelings of not belonging, the intersection with social injustice remains largely unexplored within the framework. To address this gap, we introduce the concept of existential injustice into phenomenological psychopathology. Existential injustice (...) pertains to the unjust formation, perpetuation, and treatment of background feelings. We contend that distressing alterations in these feeling states can stem from, or be perpetuated by, unjust social structures and practices. Existential injustice manifests as a felt inadequacy of one’s background feelings, reflecting broader societal disparities and inequities. Drawing on themes from social psychiatry, we illustrate the utility and explanatory power of the concept through two concrete examples. By shedding light on the ways in which societal dynamics shape distressing affective experiences our analysis underscores the importance of integrating aspects of social injustice into the study of affective phenomena in phenomenological psychopathology. (shrink)

The identification of memory engrams remains a methodological obstacle in neuroscience if they are to play the explanatory role ascribed to them by engram theory. I tackle the problem of specificity, namely the extent to which engrams can be identified, tracked, and distinguished from other engram and non-engram vehicles. I propose that adopting causal specificity from the interventionist framework of causation allows us to describe how engrams are specific to the memories and behaviors they generate. Drawing on recent work using (...) information-theoretic measures to describe causal specificity, I illustrate how this approach can be used to model the reduction of uncertainty about retrieved memories following optogenetic interventions on engram cells. (shrink)

In engaging in public moral discourse and publicly visible moral behavior, our motivations can be mixed: while on the one hand we might want to genuinely commit to norms we find morally virtuous, we can also be strongly motivated by enhancing our reputation. At times, we might even be accused of “virtue signaling”, that is, of engaging in moral discourse for self-aggrandizing and reputational gains. We might consider these reputational motives as a barrier to moral progress. In this paper, I (...) rely on insights from norm psychology and on the mindshaping framework to suggest that our reputation-guided behavior can, in some instances, actively change us for the better. In particular, I argue that by adhering to social myths in a reputationally motivated way, we might end up exercising self-directed mindshaping, and change the way we see ourselves, the stories we tell about our ourselves, and how we behave. (shrink)