Abstract
In this paper, I examine a kind of delusion in which the patients judge that their occurrent thoughts are false and try to abandon them precisely because they are false, but fail to do so. I call this delusion transparent, since it is transparent to the sufferer that their thought is false. In explaining this phenomenon, I defend a particular two-factor theory of delusion that takes the proper integration of relevant reasoning processes as vital for thought-evaluation. On this proposal, which is a refinement of Gerrans’s (2014) account of delusion as unsupervised by decontextualized processing, I can have all my reasoning processes working reliably and thus judge that my delusion is false but, if I cannot use their outputs when revising the thought itself, the delusion will persist. I also sketch how this framework explains some interesting cases of failed belief-revision in the general population in which people judge that ~p but nonetheless continue to believe that p.
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Notes
Parrott (2016, 291–293) allows that there are more than two factors involved in the aetiology of some delusions, but this is tangential to my argument.
This not a complete account of their description of the second-factor but it is its relevant feature.
While Sullivan-Bissett and Noordhof (2019, p. 3) think that to answer whether p is to answer whether it is permissible to believe p, they (2019, n. 11) seem to think that one cannot judge that p while not believing it. Therefore, the existence of transparent delusion spells trouble for their view as well.
The question ‘Why they were left out of this process?’ can only be answered by a future project.
References
Aimola-Davies, A., and M. Davies. 2009. Explaining pathologies of belief. In Psychiatry as cognitive neuroscience: Philosophical perspectives, ed. M. Broome and L. Bortolotti, 285–323. Oxford: Oxford University Press.
Alexander, M.P., D.T. Stuss, and D.F. Benson. 1979. Capgras syndrome: A reduplicative phenomenon. Neurology 29: 334–339.
Amador, X.F., M. Flaum, N.C. Andreasen, D.H. Strauss, S.A. Yale, S.C. Clark, and J.M. Gorman. 1994. Awareness of illness in schizophrenia and schizoaffective and mood disorders. Archives of General Psychiatry 51: 826–836.
Chatterjee, A., and M. Mennemeier. 1996. Anosognosia for hemiplegia: Patient retrospections. Cognitive Neuropsychiatry 1: 221–237.
Coltheart, M. 2007. The 33rd Bartlett lecture: Cognitive neuropsychiatry and delusional belief. Quarterly Journal of Experimental Psychology 60A: 1041–1062.
Coltheart, M., P. Menzies, and J. Sutton. 2010. Abductive inference and delusional belief. Cognitive Neuropsychiatry 15: 261–287.
Cuffel, B.J., J. Alford, E.P. Fischer, and R.R. Owen. 1996. Awareness of illness in schizophrenia and outpatient treatment adherence. The Journal of Nervous and Mental Disease 184: 653–659.
Currie, G. 2000. Imagination, delusion and hallucinations. In Pathologies of belief, ed. M. Coltheart and M. Davies, 167–182. Oxford: Blackwell.
Currie, G., and J. Jureidini. 2001. Delusion, rationality, empathy. Philosophy, Psychiatry & Psychology 8: 159–162.
Currie, G., and I. Ravenscroft. 2002. Recreative minds. Oxford: Oxford University Press.
Davidson, D. 1985. Incoherence and irrationality. Dialectica 39: 345–354.
Davidson, D. 2004/1982. Paradoxes of irrationality. In His problems of rationality, 169–188. Oxford: Clarendon Press.
Davies, M., and A. Egan. 2013. Delusion, cognitive approaches: Bayesian inference and compartmentalisation. In The Oxford handbook of philosophy and psychiatry, ed. K.W.M. Fulford et al., 689–727. Oxford: Oxford University Press.
Egan, A. 2008. Seeing and believing: Perception, belief formation and the divided mind. Philosophical Studies 140: 47–63.
Egan, A. 2009. Imagination, delusion, and self-deception. In Delusion and self-deception: Motivational and affective influences on belief-formation, ed. T. Bayne and J. Fernández, 263–280. New York: Psychology Press.
Evans, G. 1982. The varieties of reference. Oxford: Clarendon Press.
Gerrans, P. 2014. The measure of madness: Philosophy of mind, cognitive neuroscience, and delusional thought. Cambridge: The MIT Press.
Hohwy, J. 2013. Delusions, illusions and inference under uncertainty. Mind & Language 28: 57–71.
Hohwy, J., and V. Rajan. 2012. Delusions as forensically disturbing perceptual inferences. Neuroethics 5: 5–11.
Lackey, J. 2007. Norms of assertion. Noûs 41: 594–626.
Landa, Y., S.M. Silverstein, F. Schwartz, and A. Savitz. 2006. Group cognitive behavioral therapy for delusions: Helping patients improve reality testing. Journal of Contemporary Psychotherapy 36: 9–17.
Langdon, R., and P.B. Ward. 2009. Taking the perspective of the other contributes to awareness of illness in schizophrenia. Schizophrenia Bulletin 35: 1003–1011.
Maher, B.A. 1999. Anomalous experience in everyday life: Its significance for psychopathology. The Monist 82: 547–570.
McKay, R. 2012. Delusional inference. Mind & Language 27: 330–355.
Parrott, M. 2016. Bayesian models, delusional beliefs, and epistemic possibilities. The British Journal for the Philosophy of Science 67: 271–296.
Parrott, M., and P. Koralus. 2015. The erotetic theory of delusional thinking. Cognitive Neuropsychiatry 20: 398–415.
Peacocke, C. 2000. Conscious attitudes, attention, and self-knowledge. In Knowing our own minds, ed. C. Wright, B.C. Smith, and C. Macdonald, 63–98. Oxford: Oxford University Press.
Quilty-Dunn, J., and E. Mandelbaum. 2018. Against dispositionalism: Belief in cognitive science. Philosophical Studies 175: 2353–2372.
Schwitzgebel, E. 2002. A phenomenal, dispositional account of belief. Noûs 36: 249–275.
Schwitzgebel, E. 2012. Mad belief? Neuroethics 5: 13–17.
Shah, N. 2003. How truth governs belief. The Philosophical Review 112: 447–482.
Sullivan-Bissett, E., and P. Noordhof. 2019. The transparent failure of norms to keep up standards of belief. Philosophical Studies (First Online): 1–15. https://doi.org/10.1007/s11098-019-01242-y
Tumulty, M. 2012. Delusions and not-quite-beliefs. Neuroethics 5: 29–37.
Turner, M., and M. Coltheart. 2010. Confabulation and delusion: A common monitoring framework. Cognitive Neuropsychiatry 15: 346–376.
Weinstein, E. A., R. L. Kahn, S. Malitz, and J. Rozanski. 1954. Delusional reduplication of parts of the body. Brain: a journal of neurology 77: 45–60.
Zislin, J., V. Kuperman, and R. Durst. 2011. 'Ego-dystonic' delusions as a predictor of dangerous behavior. Psychiatric Quarterly 82: 113–120.
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I thank Neil Levy and the two anonimous reviewers of this journal for their helpful comments.
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Krstić, V. Transparent Delusion. Rev.Phil.Psych. 11, 183–201 (2020). https://doi.org/10.1007/s13164-019-00457-6
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DOI: https://doi.org/10.1007/s13164-019-00457-6