ABSTRACTEmpiricists about monothematic delusion formation agree that anomalous experience is a factor in the formation of these attitudes, but disagree markedly on which further factors need to be specified. I argue that epistemic innocence may be a unifying feature of monothematic delusions, insofar as a judgment of epistemic innocence to this class of attitudes is one that opposing empiricist accounts can make. The notion of epistemic innocence allows us to tell a richer story when investigating the epistemic status of (...) monothematic delusions, one which resists the trade-off view of pragmatic benefits and epistemic costs. Though monothematic delusions are often characterized by appeal to their epistemic costs, they can play a positive epistemic role, and this is a surprising conclusion on which, so I argue, all empiricists can agree. Thus, I show that all empiricists have the notion of epistemic innocence at their disposal. (shrink)

_Philosophical Delusion and its Therapy_ provides new foundations and methods for the revolutionary project of philosophical therapy pioneered by Ludwig Wittgenstein. The book vindicates this currently much-discussed project by reconstructing the genesis of important philosophical problems: With the help of concepts adapted from cognitive linguistics and cognitive psychology, the book analyses how philosophical reflection is shaped by pictures and metaphors we are not aware of employing and are prone to misapply. Through innovative case-studies on the genesis of classical problems (...) about the mind and perception, and on thinkers including Locke, Berkeley and Ayer, the book demonstrates how such autonomous habits of thought systematically generate unsound intuitions and philosophical delusions, whose clash with reality, or among each other, gives rise to ill-motivated but maddening problems. The book re-examines models of therapeutic philosophy, due to Wittgenstein and J. L. Austin, and develops an approach that may let us overcome philosophical delusions and the problems they engender. In this way, the book explains where and why therapy in called for in philosophy, and develops techniques to carry it out. (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)

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)

Subjects with delusions profess to believe some extremely peculiar things. Patients with Capgras delusion sincerely assert that, for example, their spouses have been replaced by impostors. Patients with Cotard’s delusion sincerely assert that they are dead. Many philosophers and psychologists are hesitant to say that delusional subjects genuinely believe the contents of their delusions.2 One way to reinterpret delusional subjects is to say that we’ve misidentified the content of the problematic belief. So for example, rather than believing that (...) his wife is has been replaced by an impostor, we might say that the victim of Capgras delusion believes that it is, in some respects, as if his wife has been replaced by an impostor. Another is to say that we’ve misidentified the attitude that the delusional subject bears to the content of their delusion. So for example, Gregory Currie and co-authors have suggested that rather than believing that his wife has been replaced by an impostor, we should say that the victim of Capgras delusion merely imagines that his wife has been replaced by an impostor.3. (shrink)

Stanford Encyclopedia Entry on Delusions.

The papers in this volume are drawn from a workshop on delusion and self-deception, held at Macquarie University in November of 2004. Our aim was to bring together theorists working on delusions and self-deception with an eye towards identifying and fostering connections—at both empirical and conceptual levels—between these domains. As the contributions to this volume testify, there are multiple points of contact between delusion and self-deception. This introduction charts the conceptual space in which these points of contact can (...) be located and introduces the reader to some of the general issues that frame the discussion of subsequent chapters. (shrink)

In this paper I discuss the role played by disturbed phenomenology in accounting for the formation and maintenance of the Capgras delusion. Whilst endorsing a two-stage model to explain the condition, I nevertheless argue that traditional accounts prioritise the role played by some form of second-stage cognitive disruption at the expense of the significant contribution made by the patient’s disturbed phenomenology, which is often reduced to such uninformative descriptions as “anomalous” or “strange”. By advocating an interactionist model, I argue (...) that the delusional belief constitutes an attempt on the part of the patient to explain his/her initially odd and somewhat disturbed phenomenal content and, moreover, that the delusion then structures the patient’s experience such that what he/she perceives is an impostor. This fact is used to explain the delusional belief’s maintenance and resistance to revision. Thus, whilst accepting that second-stage cognitive disruption has a part to play in explaining the Capgras delusion, the emphasis here is placed on the role played by the patient’s changing phenomenal content and its congruence with the delusional belief. Unlike traditional two-stage models, which posit a unidirectional progression from experience to belief, the interactionist model advocates a two-way interaction between bottom-up and top-down processes. The application of this model to other delusional beliefs is also considered. (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)

This collection of essays focuses on the interface between delusions and self-deception.

To what extent do self-deception and delusion overlap? In this paper we argue that both self-deception and delusions can be understood in folk-psychological terms. “Motivated” delusions, just like self-deception, can be described as beliefs driven by personal interests. If self-deception can be understood folk-psychologically because of its motivational component, so can motivated delusions. Non-motivated delusions also fit the folk-psychological notion of belief, since they can be described as hypotheses one endorses when attempting to make sense of unusual and powerful (...) experiences. We suggest that there is continuity between the epistemic irrationality manifested in self-deception and in delusion. (shrink)

The condition known as Multiple Personality Disorder (MPD) or Dissociative Identity Disorder (DID) is metaphysically strange. Can there really be several distinct persons operating in a single body? Our view is that DID sufferers are single persons with a severe mental disorder. In this paper we compare the phenomenology of dissociation between personality states in DID with certain delusional disorders. We argue both that the burden of proof must lie with those who defend the metaphysically extravagant Multiple Persons view and (...) that there is little theoretical motivation to yield to that view in light of the fact that the core symptoms of DID bear remarkable similarity to the symptoms of these other disorders where no such extravagance is ever seriously entertained. (shrink)

In this paper, I will present and advocate a view about what we are doing when we attribute delusion, namely, say that someone is delusional. It is an “expressivist” view, roughly analogous to expressivism in meta-ethics. Just as meta-ethical expressivism accounts for certain key features of moral discourse, so does this expressivism account for certain key features of delusion attribution. And just as meta-ethical expressivism undermines factualism about moral properties, so does this expressivism, if correct, show that certain (...) attempts to objectively define delusion are misguided. I proceed as follows. I start by examining different attempts at defining delusion, separating broadly psychiatric attempts from epistemic ones. I then present a change of approach, according to which we question whether the term “delusion” is in the business of (merely) describing reality. I then support this proposal, first, by borrowing standard lines of argument from meta-ethics (including ontological reluctance, intrinsic motivation, and deep disagreement) but also, by inference to the best explanation of some the features we see when we try to theorise about delusion (namely that it is hard to define, and that our delusion attributions are elicited by a plurality of norms). (shrink)

Algunos autores han intentado considerar los delirios como certezas –entendidas en el sentido de Wittgenstein– debido a las similitudes que parecen existir entre sus respectivos estatus epistemológicos. Sin embargo, dicho intento ha sido criticado con agudeza, entre otras razones, porque el contenido de los delirios choca frontalmente con el contenido de las certezas, por lo que los delirios no pueden ser comprendidos debido a los cambios en las relaciones de significado. Pero es evidente que, aunque los delirios no se puedan (...) contemplar como certezas, muchos delirios afectan de un modo u otro al sistema de certezas del paciente. Partiendo de esta base, no es descabellado pensar que dicha influencia pudiera ser también recíproca: en otras palabras, parece sumamente recomendable analizar si algunos delirios se podrían contemplar como el resultado de variaciones en certezas. En este artículo llevo a cabo dicho análisis al intentar mostrar que el origen de algunos delirios pedestres y severos puede ser hallado en lo que llamaré “ceguera a posibilidades” e “incertidumbre”, términos que he desarrollado teniendo en cuenta la obra del filósofo Ludwig Wittgenstein. (shrink)

Fregoli delusion is the mistaken belief that some person currently present in the deluded person's environment is a familiar person in disguise. The stranger is believed to be psychologically identical to this known person even though the deluded person perceives the physical appearance of the stranger as being different from the known person's typical appearance. To gain a deeper understanding of this contradictory error in the normal system for tracking and identifying known persons, we conducted a detailed survey of (...) all the Fregoli cases reported in the literature since the seminal Courbon and Fail paper. Our preliminary reading of these cases revealed a notable lack of definitional clarity. So, we first formulated a classification scheme of different person misidentification delusions so as to identify those cases that qualified as instances of Fregoli according to the above characterization: the mistaken belief that a known person is present in the environment in a different guise to his or her typical appearance. We identified 38 clear cases of this type and set out to answer a series of questions motivated by current hypotheses about the origin of the Fregoli delusion. We asked whether the patients misidentified particular strangers, made reference to the misidentified known persons using wigs or plastic surgery , misidentified many different strangers or only one, showed other symptoms , and made inferences about the motives of the known persons in disguise. We conclude by discussing the implications of our findings for current hypotheses concerning the origin of the Fregoli delusion. (shrink)

In Buddhist contexts, avidyā refers not only to a lack of knowledge but also (and primarily) to an active misapprehension of reality, a warped projection onto reality that reinforces our own dysfunction and vice. Ignorance is rarely innocent; it is not an isolated phenomenon of just-not-happening-to-know-something. It is maintained and reinforced through personal and social habits, including practices of personal and collective false projection, strategic ignoring, and convenient “forgetting.” This view of avidyā has striking similarities to philosophical analyses of white (...) ignorance, such as Charles Mills’, which understand white ignorance not in terms of a passive lack of knowledge but as an active refusal by whites to confront basic facts about our social world (Mills 2007, 16). I argue that Buddhist analyses of avidyā may help us understand the mechanisms of white ignorance and the practices for deconstructing it. (shrink)

This chapter identifies and explores a series of challenges raised by the clinical concept of delusion for theories which conceive autonomy as an agency rather than a status concept. The first challenge is to address the autonomy-impairing nature of delusions consistently with their role as grounds for full legal and ethical excuse, on the one hand, and psychopathological significance as key symptoms of psychoses, on the other. The second challenge is to take into account the full logical range of (...) delusions, which may take the form of true or false factual beliefs, positive or negative evaluations, as well as the paradoxical delusion of mental illness. The third and final challenge is to make room for non-pathological or, autonomy-preserving delusions and to offer a credible way of distinguishing between these and pathological or, autonomy-impairing delusions. By setting out these challenges, we are able to, firstly, distinguish between two separate conceptions of objectivity that may be at work in existing accounts of delusions and, secondly, to put a spotlight on an elusive yet inescapable notion of agential success that underlies our thinking about autonomy as well as mental disorder. (shrink)

Did Newton "unweave the rainbow" by reducing it to its prismatic colors, as Keats contended? Did he, in other words, diminish beauty? Far from it, says Dawkins--Newton's unweaving is the key too much of modern astronomy and to the breathtaking poetry of modern cosmology. Mysteries don't lose their poetry because they are solved: the solution often is more beautiful than the puzzle, uncovering deeper mystery. (The Keats who spoke of "unweaving the rainbow" was a very young man, Dawkins reminds us.) (...) With the wit, insight, and spellbinding prose that have made his books worldwide bestsellers, Dawkins addresses the most important and compelling topics in modern science, from astronomy and genetics to language and virtual reality, and combines them in a landmark statement of the human appetite for wonder. This is the book that Richard Dawkins was meant to write: a brilliant assessment of what science is (and what it isn't), a tribute to science "not because it is useful (though it is), but but because it is uplifting, in the same way as the best poetry is uplifting.". (shrink)

Cheyne and Girard characterize felt presence during sleep paralysis attacks as a pre-hallucinatory expression of a threat-activated vigilance system. While their results may be consistent with this interpretation, they are nonetheless correlational and do not address a parsimonious alternative explanation. This alternative stipulates that FP is a purely spatial, hallucinatory form of a common cognitive phenomenon—social imagery—that is often, but not necessarily, linked with threat and fear and that may induce distress among susceptible individuals. The occurrence of both fearful and (...) non-fearful FPs in a multiplicity of situations other than sleep paralysis attacks supports the notion that FPs are hallucinatory variants of social imagery and that they are not necessarily bound to threat-activated vigilance. Evidence linking FPs with anxiety disorders supports the notion that the distress they evoke may be mediated by a more general affective distress personality factor. To illustrate the predominantly spatial character of FP hallucinations, similarities between FP and phantom limbs are summarized and the possibility that these two phenomena are parallel expressions of a mirror neuron system is considered. (shrink)

The theory of rationality has traditionally been concerned with the investigation of the norms of rational thought and behaviour, and with the reasoning procedures that satisfy them. As a consequence, the investigation of irrationality has largely been restricted to the behaviour or thought that violates these norms. There are, however, other forms of irrationality. Here we propose that the delusions that occur in schizophrenia constitute a paradigm of irrationality. We examine a leading theory of schizophrenic delusion and propose that (...) some delusions can be traced to a violation of a condition on thought we call egocentricity. We argue that the violation of egocentricity leads to irrational states that cannot be explained by the traditional categories of irrationality and conclude, therefore, that these states belong in a new branch of the theory of irrationality, that of experiential irralionahly. (shrink)

Clinical delusions are widely characterized as being pathological beliefs in both the clinical literature and in common sense. Recently, a philosophical debate has emerged between defenders of the commonsense position (doxasticists) and their opponents, who have the burden of pointing toward alternative characterizations (anti-doxasticists). In this chapter, I argue that both doxasticism and anti- doxasticism fail to characterize the functional role of delusions while at the same time being unable to play a role in the explanation of these phenomena. I (...) also argue that though a more nuanced view of belief in which mental states are more or less belief-like instills a healthy skepticism towards the precision of folk-psychological concepts, such a stance fails to be of use in building a theory of delusion that will be able to bridge different levels of explanation, such as the phenomenology and neurobiology of delusion. Thus, I advocate moving past the question ‘Are delusions beliefs?’ and their description as propositional attitudes toward the description of the processes that generate delusion, with a view toward explaining, rather than explaining away, the personal-level aspects of the phenomenon that have been made inscrutable by investing in doxastic terminology. (shrink)

Aristotle's philosophically most explicit and sophisticated account of the concept of a (primary-)universal proof is found, not in "Analytica Posteriora" 1.4, where he introduces the notion, but in 1.5. In 1.4 Aristotle merely says that a universal proof must be of something arbitrary as well as of something primary and seems to explain primacy in extensional terms, as concerning the largest possible domain. In 1.5 Aristotle improves upon this account after considering three ways in which we may delude ourselves into (...) thinking we have a primary-universal proof. These three sources of delusion are shown to concern situations in which our arguments do establish the desired conclusion for the largest possible domain, but still fail to be real primary-universal proofs. Presupposing the concept of what may be called an immediate proof, in which something is proved of an arbitrary individual, Aristotle in response now demands that a proof be immediate of the primary thing itself and goes on to sketch a framework in which an intensional criterion for primacy can be formulated. For the most part this article is a comprehensive and detailed commentary on Aristotle's very concise exposition in 1.5. One important result is that the famous passage 74a17-25 referring to two ways of proving the alternation of proportions cannot be used as evidence for the development of pre-Euclidean mathematics. (shrink)

My question is whether a prevalent conception of morality can admit the existence of moral delusion. The conception of morality I refer to is that of a set of rules, or principles, ‘accepted’ or ‘assented’ to by persons, which stipulate that certain kinds of human act or behaviour are permitted, or required, while other kinds are to be avoided. This conception of morality can be found virtually everywhere, outside as much as within philosophy, in anthropology, sociology, political studies, history, (...) literary criticism, psychology, and law. But it is to a particular philosophical instance that I shall attend here. The instance in question is an essay by Jonathan Bennett which appeared in this journal seven years ago under the title ‘The Conscience of Huckleberry Finn’. My reason for addressing myself to Bennett's paper will become clear as I proceed. (shrink)

Cognitive neuropsychiatry (CN) is the explanation of psychiatric disorder by the methods of cognitive neuropsychology. Within CN there are, broadly speaking, two approaches to delusion. The first uses a one-stage model, in which delusions are explained as rationalizations of anomalous experiences via reasoning strategies that are not, in themselves, abnormal. Two-stage models invoke additional hypotheses about abnormalities of reasoning. In this paper, I examine what appears to be a very strong argument, developed within CN, in favor of a twostage (...) explanation of the difference in content between the Capgras and Cotard delusions. That explanation treats them as alternative rationalizations of essentially the same phenomenology. I show, however, that once we distinguish the phenomenology (and the neuroetiology), a one-stage model is adequate. In the final section I make some more general remarks on the oneand two-stage models. (shrink)

In recent times, explanations of the Capgras delusion have tended to emphasise the cognitive dysfunction that is believed to occur at the second stage of two-stage models. This is generally viewed as a response to the inadequacies of the one-stage account. Whilst accepting that some form of cognitive disruption is a necessary part of the aetiology of the Capgras delusion, I nevertheless argue that the emphasis placed on this second-stage is to the detriment of the important role played (...) by the phenomenology underlying the disorder, both in terms of the formation and maintenance of the delusional belief. This paper therefore proposes an interactionist two-stage model in which the phenomenal experience of the Capgras patient is examined, emphasised, and its relation to top-down processing discussed. (shrink)

We investigate a variant of the variable convention proposed at Tractatus 5.53ff for the purpose of eliminating the identity sign from logical notation. The variant in question is what Hintikka has called the strongly exclusive interpretation of the variables, and turns out to be what Ramsey initially (and erroneously) took to be Wittgenstein's intended method. We provide a tableau calculus for this identity-free logic, together with soundness and completeness proofs, as well as a proof of mutual interpretability with first-order logic (...) with identity. (shrink)

Aristotle's philosophically most explicit and sophisticated account of the concept of a (primary-)universal proof is found, not in "Analytica Posteriora" 1.4, where he introduces the notion, but in 1.5. In 1.4 Aristotle merely says that a universal proof must be of something arbitrary as well as of something primary and seems to explain primacy in extensional terms, as concerning the largest possible domain. In 1.5 Aristotle improves upon this account after considering three ways in which we may delude ourselves into (...) thinking we have a primary-universal proof. These three sources of delusion are shown to concern situations in which our arguments do establish the desired conclusion for the largest possible domain, but still fail to be real primary-universal proofs. Presupposing the concept of what may be called an immediate proof, in which something is proved of an arbitrary individual, Aristotle in response now demands that a proof be immediate of the primary thing itself and goes on to sketch a framework in which an intensional criterion for primacy can be formulated. For the most part this article is a comprehensive and detailed commentary on Aristotle's very concise exposition in 1.5. One important result is that the famous passage 74a17-25 referring to two ways of proving the alternation of proportions cannot be used as evidence for the development of pre-Euclidean mathematics. (shrink)

People suffering from severe monothematic delusions, such as Capgras, Fregoli, or Cotard patients, regularly assert extraordinary and unlikely things. For example, some say that their loved ones have been replaced by impostors. A popular view in philosophy and cognitive science is that such monothematic delusions aren't beliefs because they don't guide behaviour and affect in the way that beliefs do. Or, if they are beliefs, they are somehow anomalous, atypical, or marginal beliefs. We present evidence from five studies that folk (...) psychology unambiguously views monothematic delusions as stereotypical beliefs. This calls into question widespread assumptions in the professional literature about belief's stereotypical functional profile. We also show that folk psychology views delusional patients as holding contradictory beliefs. And we show that frequent assertion is a powerful cue to belief ascription, more powerful than even a robust and consistent track record of non-verbal behaviour. (shrink)

A philosophical assessment of Richard Dawkins' The God Delusion, exposing some errors of reasoning that undermine part of the foundation of his atheism. Distinctions between theism, atheism and agnosticism are also provided and explored for their significance to Dawkins' argument.

A philosophical assessment of Richard Dawkins' The God Delusion, exposing some errors of reasoning that undermine part of the foundation of his atheism. Distinctions between theism, atheism and agnosticism are also provided and explored for their significance to Dawkins' argument.

An examination of alien abduction belief can inform how we ought to approach constructing explanations of monothematic delusion formation. I argue that the formation and maintenance of alien abduct...

I attempt to describe and defend an alternative definition of insanity. I claim that my definition follows from an adequate general understanding of legal excuse and that it describes correctly the question that jurors in the recent Andrea Yates case and others like it ought to be faced with. My essay has three parts. In the first, I briefly criticize M'Naghten- and Durham-inspired insanity statutes. In the second, I sketch and defend a general understanding of legal excuse and try to (...) show how an adequate insanity statute follows from it. Finally, in the third section, I describe and defend a rough version of the statute itself. In the course of doing so, I try to explain why I believe that statute is superior to the American Law Institute's various model insanity statutes. (shrink)

Although delusion is one of the central concepts of psychopathology, it stills eludes precise conceptualization. In this paper, I present certain basic issues concerning the classification and definition of delusion, as well as its ontological status. By examining these issues, I aim to shed light on the ambiguity of the clinical term ‘delusion’ and its extension, as well as provide clues as to why philosophers are increasingly joining the ranks of psychiatrists, psychologists, and neuroscientists in the effort (...) to come to a comprehensive understanding of delusion. (shrink)

Technical delusions are highly significant for the diagnosis of schizophrenia. What can we learn from the content and the formal aspects of this kind of delusion about the primary schizophrenic experiences underlying the technical delusion and about its meaning and purpose for the patient? In a phenomenological investigation of six schizophrenics, comparing their experiences in technical delusion with the normal experience of technical phenomena, I describe the patient's relationship to himself, to his world, and to others and (...) the modalities of his hallucinatory perceptions. Finally, I discuss the effect of the technical delusion on the patient's relationship to reality. (shrink)

Richard Mullen and Grant Gillett (2014) decry the oversimplifications that accompany ‘doxastic’ analyses of delusion analogizing them to belief states; particularly, they object to the recent elevation to the status of paradigmatic the ordinary beliefs often understood, in Bayesian terms, as probabilistic estimates of empirical facts. Such an approach ignores the significance of the delusion for the individual, they emphasize, neglecting the delusional person’s conceptions of self and identity in relation to the world. In support of their plea (...) for a broader, more nuanced, and more clinically and existentially sensitive understanding of delusion, Mullen and Gillett enumerate drawbacks to the doxastic view not .. (shrink)

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 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. (shrink)