Philosophy of Mind and Psychiatry Reach and Boundaries of a Biological Account to the Study of Delusions

Main Article Content

Emilia Vilatta

Keywords

Psychiatry, philosophy of mind, naturalism, psychiatric disorders, de-lusions, reductionism, eliminativism

Abstract

This paper focuses on the philosophical study of delusions as an example of the link that can be established between the philosophy of mind and psychiatry. Against radically naturalistic versions that suggest reductionist or eliminativist variables to explain certain mental phenomena and their ‘abnormal’ variables, I will stand up for a toned-down version of the naturalistic perspective. In this sense, I will point out that it is necessary to keep some level of sympathy towards naturalism in the philosophical research on delusions to develop the theories about the empirically informed beliefs that do not contradict the current developments on cognitive psychology and neurosciences. Nevertheless, I will also state that an exclusively naturalist perspective –from both philosophy and psychiatry itself- cannot render an account of the regulatory context within which beliefs develop. Normative, particularly external, criteria (social and pragmatic) used to classify certain beliefs as delirious are not intelligible under a purely natural explanation. Conversely, to understand delusional beliefs as delusional, it will be necessary to take an interest in a hybrid approach that considers the natural causes of the phenomenon as well as its normative assessment.

Downloads

Download data is not yet available.
Abstract 1188 | PDF (Español) Downloads 547 XML (Español) Downloads 2106

References

American Psychiatric Association [APA] (2013). Diagnostic and statistical manual of mental disorders: DSM-V-TM (5th ed.). Washington, DC: American Psychiatric Association.

Andreasen, N. (1984). The biological revolution in Psychiatry. New York: Harper & Row Publishers.

Andreasen, N. (2001). Brave new brain: Conquering mental illness in the era of the genome. New York: Oxford University Press.

Andreasen, N. (2005). The creating brain. New York: Dana Press.

Arpaly, N. (2005). How it is not “just like diabetes”: mental disorders and the moral psychologist. Philosophical Issues, 1(15), 282-298.

Balestri, M., Calati, R. & de Ronchi, D. (2014). Genetic modulation of personality traits: a systematic review of the literature. International Clinical Psychopharmacology, 1(29), 1-15.

Bayne, T. & Pacherie, E. (2005). In defence of the doxastic conception of delusion. Mind & Language, 2(20), 163-188.

Bell, D. (2003). Paranoia. Cambridge: Icon.

Bentall, R., Corcoran, R., Howard, R., Blackwood, N. & Kinderman, P. (2001). Persecutory delusions: a review and theoretical integration. Clinical Psychology Review, 1(21), 1143-1192.

Bermúdez, J. (2003). Thinking without words. Oxford: Oxford University Press.

Blackwood, N., Howard, R., Bentall, R. & Murray, R. (2001). Cognitive neuropsychiatric models of persecutory delusions. American Journal of Psychiatry, 1(158), 527-539.

Bortolotti, L. (2005). Delusions and the background of rationality. Mind and Language, 2(20), 189-208.

Bortolotti, L. (2015). The epistemic innocence of motivated delusions. Consciousness & Cognition, 33(1), 490-499.

Bortolotti, L. & Miyazono, K. (2015). Recent Work on the Nature and Development of delusions. Philosophy Compass, 10 (9), 636-645.

Bracken, P., Thomas, P., Timimi, S. & Yeomans, D. (2012). Psychiatry beyond the current paradigm. The British Journal of Psychiatry, 6(201), 430-434.

Charney, D., Nestler, E. & Bunney, B. (1999). Neurobiology of mental illness. Oxford: Oxford University Press.

Chaufan, C. & Joseph, J. (2013). The “missing heritability” of common disorders: should health researchers care? International Journal of Health Services, 2(43), 281-303.

Colbert, S. & Peters, E. (2002). Need for closure and jumping-to-conclusions in delusion-prone individuals. Journal of Nervous and Mental Disease, 1(190), 27-31.

Coltheart, M. (2007). Cognitive neuropsychiatry and delusional belief. The Quarterly Journal of Experimental Psychology, 8(60), 1041-1062.

Davies, M., Coltheart, M., Langdon, R. & Breen, N. (2001). Monothematic delusions: Towards a two- factor account. Philosophy, Psychiatry and Psychology, 3(8), 133-158.

Dennett, D. (1998). La actitud intencional. Barcelona: Gedisa.

Graham, G. (2010). The disordered mind: an introduction to philosophy of mind and mental illness. London: Routledge.

Graham (2013). Ordering Disorder: mental disorder, brain disorder and therapeutic intervention. En K. Fuldford, M. Davies, R. Gipps, G. Graham, J. Sadler, G. Stanghellini & T. Thornton (Eds.), Oxford Handbook of Philosophy of Psychiatry. Oxford: Oxford University Press.

Kapur, S. (2003). Psychosis as a state of aberrant salience: a framework linking biology, phenomenology, and pharmacology in schizophrenia. American Journal of Psychiatry, 1(160), 13-23.

Kapur, S., Phillips, A. & Insel, T. (2012). Why has it taken so long for biological psychiatry to develop clinical tests and what to do about it? Molecular Psychiatry, 12(17), 117-149.

Kendler, K. (2012). The dappled nature of causes of psychiatric illness: replacing the organic functional/hardware software dichotomy with empirically based pluralism. Molecular Psychiatry, 4(17), 377-388.

McDowell, J. (2003). Mente y Mundo. Salamanca: Editorial Sígueme.

McKay, R. & Dennett, D. (2009). The evolution of misbelief. Behavioral and Brain Sciences, 6(32), 493-561.

McKay, R., Langdon, R. & Colheart, M. (2009). Sleights of mind: Delusions, and self deception. En: T. Bayne & J. Fernández (Eds.), Delusion and Self deception: Affective and Motivational Influences on Belief Formation. Hove: Psychology Press.

Miller, J., Ding, S. & Sunkin, S. (2014). Transcriptional landscape of the prenatal human brain”. En: Nature, 1(508), 199-206.

Moncrieff, J. & Middleton, H. (2015). Schizophrenia: a critical psychiatry perspective. Current Opinion in Psychiatry, 3(28), 264-268.

Pavlickova, H., Varese, F., Smith, A., Myin-Germeys, I., Turnbull, O. & Bentall, R. (2013). The dynamics of mood and coping in bipolar disorder: longitudinal investigations of the inter-relationship between affect, self-esteem and response styles. PLoS ONE Journal, 4(8), 1-2.

Read, J., Mosher, L. & Bentall, R. (2015). Models of Madness Psychological, Social and Biological Approaches to Psychosis (2nd ed.). London: Routledge.

Sellars, W. (1971). Ciencia, percepción y realidad. Madrid: Tecnos.

Stich, S. (1990). The Fragmentation of Reason: Preface to a Pragmatic Theory of Cognitive Evaluation. Cambridge: MIT Press.

Stone, T. & Young, A. (1998). Delusions and brain injury. The philosophy and psychology of belief. Mind and Language, 1(12), 327-364.

Szasz, T. (2008). El mito de la enfermedad mental. Buenos Aires: Amorrortu.

Timimi, S. (2014). No more psychiatric labels: why formal psychiatric diagnostic systems should be abolished. International Journal of Clinical and Health Psychology, 3(13), 208-215.