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.

Les délires sont des composantes cruciales de nombreux troubles psychiques, surtout la schizophrénie. Que sont les délires? Selon l’opinion courante, il s’agit d’un type de croyance, plus précisément, une croyance pathologique. Malheureusement, l’opinion courante ne correspond pas rigoureusement, dans tous les cas, à la pratique clinique, où l’expression « délire » est souvent appliquée à des états qui ne sont pas des croyances. Nous examinons les raisons pour lesquelles des états qui ne sont pas des croyances peuvent être considérés comme (...) des délires. Nous soutenons que les délires sont des structures complexes d’attitudes d’ordre supérieur et inférieur. Ils constituent un type spécifique de défaillance de la connaissance et de la gestion de soi. Nous fournirons une description du type en question. Notre point de vue implique sur le plan conceptuel que les croyances ne sont pas essentielles aux délires.Delusions are critical components in a number of mental disorders, schizophrenia formost. What are they? The standard view is that they are a type of belief — a pathological belief. Unfortunately, the standard view does not consistently correspond to clinical practice, where the term « delusion » often applies to non-beliefs. We review the case for saying that non-beliefs can count as delusions. We argue that delusions are complexes of higher and lower order attitudes. They constitute a distinctive type of failure of self-knowledge and self-management. We describe the relevant type. One of the conceptual implications of our view is that beliefs need not be central to delusions. (shrink)

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.

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)

The book under review offers two important contributions. One is a valuable discussion of the various ways of addressing the paradoxical experience of externality. The other is an emphasis on a distinction between the experience of subjectivity and the experience of agency. This review tries to show that this distinction is indeed a crucial feature in any solution to the question of externality, but that it is associated with a view of thinking as acting that is questionable.

This book deals with the experience of externality, i.e. an experience, common in schizophrenia, present both in verbal hallucination and in thought insertion. The view defended is that thought insertion is a case of failed agency, experienced by the agent at the personal level as an intelligible thought with which she cannot identify. Such a case in which sense of agency and sense of subjectivity come apart reveals the existence of two dimensions in self-consciousness. Several difficulties of the solution offered (...) are discussed, in connection with the causal-explanatory role of the phenomenological features of the experience and with the view that thinking is a variety of acting. (shrink)

Reviews the book, When self-consciousness breaks: Alien voices and inserted thoughts by G. Lynn Stephens and George Graham . In this book, the authors examine and explain the experience of verbal hallucinations and thought insertion in terms of an alienated self-consciousness, in which the person is directly or introspectively aware of an episode in mental life but experiences it as alien. Psychopathologists look to such episodes as a way to reveal the underlying pathology of mental illness. As (...) philosophers, however, Stephens and Graham are concerned with what such experiences might reveal about the underlying psychological structure and processes of human consciousness. 2012 APA, all rights reserved). (shrink)