An examination of verbal hallucinations and thought insertion as examples of "alienated self-consciousness.".

A benchmark volume for an emerging field where mental disorders serve as the springboard for philosophical insights.

Stephens and Grahamset themselves an apparently modest task, to understand why people who experience alien voices and inserted thoughts do not believe that they themselves are the source of these experiences. However, it soon becomes clear that there are many connected issues here. In eight short chapters, they address the phenomenology and ontology of consciousness, the phenomenology of alien voices, inserted thoughts, obsessive-compulsive thoughts and feelings, and other cases of unusual experience often associated with psychopathology, including brief discussion of multiple (...) personality disorder. They survey some of the main empirical explanations of the phenomenology, set out the shortcomings of these theories, and end by proposing their own schematic account. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Commentary on “Free Will in the Light of Neuropsychiatry”G. Lynn Stephens (bio)A necessary condition of our having free will is that we initiate some of our actions by our own will or decision. Spence argues that, in light of certain empirical findings, we can accept that willing causes action, only if we acknowledge that willing is a non-conscious phenomenon. “If the notion of free will is retained... it will (...) be a free will which is essentially non-conscious.... [A] conscious free will (in the sense of consciousness initiating action) is incompatible with the evidence....” I shall argue that Spence’s conclusion depends upon a highly questionable understanding of what it is for a decision to be conscious.The evidence to which Spence refers above comes from experimental studies by Libet. This work suggests that, at least for simple motor performances, we become aware of willing the action only after the act has been initiated. This raises the possibility that our subjective experience of willing an action generally follows rather than precedes initiation of the relevant act and, hence, does not cause that action.What does all this entail concerning the causal efficacy of willing or deciding? Spence carefully refrains from drawing the conclusion that decisions never cause actions. Rather he concludes that “conscious decisions do not cause acts.... “Our decision or freedom is illusory (if by these terms we mean conscious phenomena).” We can continue to maintain that our decisions sometimes initiate actions, but only provided that we regard our decisions as non-conscious.In order to evaluate the claim that conscious decisions do not cause actions, we need to distinguish two questions: (1) Does my decision, of which I am conscious, cause me to do A? and (2) Does my being conscious of my decision cause me to do A?We might answer (1) in the affirmative, but (2) in the negative. That is, it might be true that my decision to do A caused me to do A and that I was conscious of that decision, but false that my being conscious of my decision caused me to do A. Indeed, we might suppose that, although my decision caused me to do A, I did not become conscious of that decision until after I had done A. How could this be? Suppose that my subjective experience of deciding to do A results from an (internal) perceptual process and that this process takes time. In that case it is possible that, having decided to do A, it requires more time for me to become conscious of that decision than is required for the decision to initiate my doing A. By the time I become aware of my decision, I have already done what I decided to do.The evidence Spence offers is incompatible with the hypothesis that the subjective experience of [End Page 97] my decision to do A causes me to do A, but quite compatible with the hypothesis that my decision to do A, of which I was conscious, caused me to do A. When he expresses his point by saying, “decisions to act arise prior to our consciousness of them,” or “The role of consciousness in volition is not that of initiator,” he is drawing the conclusion warranted by his evidence.However, he goes beyond his evidence when he says, “Thus our decision or freedom is illusory (if by these terms we mean conscious phenomena),” or “Conscious decision do not cause acts.” To justify these conclusions he needs to argue that something counts as a conscious decision only if we become conscious of it at precisely the instant at which it occurs. (Compare: Something counts as an event that we see, only if we begin to see it precisely at the instant at which it occurs.) Absent some defense of this view, a defense provided nowhere in Spence’s paper, we may continue to maintain that conscious decisions do cause actions.Related ArticlesFeature Article: Free Will in the Light of NeuropsychiatryCommentary: Commentary by FrithCommentary: Commentary by LibetCommentary: Commentary by StephensResponse: Response to the CommentariesG. Lynn Stephens G. Lynn Stephens, Ph.D., Department of Philosophy, University of Alabama... (shrink)

Discusses the psychological self-knowledge of philosopher G. Lynn Stephens who contends that both the overarching assertion that humans have psychological stress at all and each specific ascription of a psychological state to oneself requires justification by inference. Objectivity of moral and aesthetic values and the analysis of modal discourse; Role of certain qualities of objects in interactions among objects; Irrefragable reasons requirement of each psychological self-ascription.

This chapter is about susceptibility to one type of division within our selves that can occur within self‐conscious experience and is present in certain mental disorders. This is the separation between experiencing oneself as subject and as agent. The chapter considers some disorders of self‐consciousness and examines the role that this particular division may play in those disorders. Companion to consciousness studies is not completed without attention to the philosophical psychopathology of self‐consciousness. The chapter also examines the case of verbal (...) auditory hallucinations. Investigators often say that hallucinations involve “loss of ego boundaries” or “internal/external confusion”. The chapter presents a case of alienated self‐consciousness, and explores the phenomenon of thought insertion. According to the standard or traditional account of thought insertion, the patient is aware of her own thoughts, but denies that they are hers and attributes them to someone else. So, thought insertion certainly seems to constitute alienated awareness of one's own thoughts. (shrink)

Gray unwisely melds together two distinguishable contributions of consciousness: one to epistemology, the other to evolution. He also renders consciousness needlessly invisible behaviorally.