It is generally acknowledged that confabulation undermines the authority of self-attribution of mental states. But why? The mainstream answer is that confabulation misrepresents the actual state of one’s mind at some relevant time prior to the confabulatory response. This construal, we argue, rests on an understanding of self-attribution as first-person mindreading. Recent developments in the literature on folk psychology, however, suggest that mental state attribution also plays an important role in regulating or shaping future behaviour in conformity with normative expectations. (...) We explore an analogue understanding of self-attribution of mental states in terms of first-person mindshaping. The main aim of this paper is to explore how this insight alters the implications of empirical confabulation studies on first-person authority. We also indicate how this sheds new light on the phenomenon of confabulation itself. (shrink)

Empirical evidence suggests that people often confabulate when they are asked about their choices or reasons for action. The implications of these studies are the topic of intense debate in philosophy and the cognitive sciences. An important question in this debate is whether the confabulation studies pose a serious threat to the possibility of self-knowledge. In this paper we are not primarily interested in the consequences of confabulation for self-knowledge. Instead, we focus on a different issue: what confabulation implies for (...) the special status of self-attributions, i.e. first-person authority. In the first part of the paper, we propose that FPA is based on a capacity for self-regulation. Accordingly, FPA depends on the extent to which we are able to bridge the gap between our sayings and doings by aligning our actions with our avowed self-ascriptions and vice versa. FPA is withheld when we fail at such re-alignment. In the second part of the paper, we contrast our view with the accounts of Scaife and Bortolotti :227–249, 2018). We claim that the apparent fact that we cannot reliably distinguish, from a first-person perspective, when we are confabulating and when we are not, does not necessarily undermine FPA. We argue that a systematic failure to align our actions with our self-ascriptions and vice-versa is a genuine threat to FPA. In the last part of the paper, we introduce the concept of self-know-how—the know-how embodied in the way one is disposed to relate to oneself in making sense of oneself with or in the face of others—and briefly explored the importance of diminished or absent self-know-how in clinical cases. (shrink)

According to the BD-model of mindreading, we primarily understand others in terms of beliefs and desires. In this article we review a number of objections against explicit versions of the BD-model, and discuss the prospects of using its implicit counterpart as an explanatory model of early emerging socio-cognitive abilities. Focusing on recent findings on so-called ‘implicit’ false belief understanding, we put forward a number of considerations against the adoption of an implicit BD-model. Finally, we explore a different way to make (...) sense of implicit false belief understanding in terms of keeping track of affordances. (shrink)

According to the BD-model of mindreading, we primarily understand others in terms of beliefs and desires. In this article we review a number of objections against explicit versions of the BD-model, and discuss the prospects of using its implicit counterpart as an explanatory model of early emerging socio-cognitive abilities. Focusing on recent findings on so-called ‘implicit’ false belief understanding, we put forward a number of considerations against the adoption of an implicit BD-model. Finally, we explore a different way to make (...) sense of implicit false belief understanding in terms of keeping track of affordances. (shrink)

Abstract: In this article, we explore what are ethical forms of holding service users responsible in mental health care contexts. Hanna Pickard has provided an account of how service users should be held responsible for morally wrong or seriously harmful conduct within contexts of mental health care, called the clinical stance. From a clinical stance one holds a person responsible for harm, but refrains from emotionally blaming the person and only considers the person responsible for this conduct in a detached (...) sense. Her account is based on what are considered best practices in the treatment of people with borderline personality disorder and addiction. We ask if this account generalizes across different diagnostic criteria and different clinical contexts. To begin to answer this question, we compare the clinical stance to an account of what are considered best practices in the treatment of service users at a specialized clinic for people with autism spectrum disorder in the Netherlands. We refer to this alternative account as the nurturing stance and highlight relevant similarities and differences between the clinical stance and the nurturing stance. We conclude with suggestions for further research and theorizing. (shrink)

This introduction is part of the special issue ‘ Self-knowledge in perspective’ guest edited by Fleur Jongepier and Derek Strijbos. // Papers included in the special issue: Transparency, expression, and self-knowledge Dorit Bar-On -/- Self-knowledge and communication Johannes Roessler -/- First-person privilege, judgment, and avowal Kateryna Samoilova -/- Self-knowledge about attitudes: rationalism meets interpretation Franz Knappik -/- How do you know that you settled a question? Tillmann Vierkant -/- On knowing one’s own resistant beliefs Cristina Borgoni -/- Self-knowledge and imagination (...) Peter Langland-Hassan -/- Transparent emotions? A critical analysis of Moran’s transparency claim Naomi Kloosterboer -/- Mind-making practices: the social infrastructure of self-knowing agency and responsibility Victoria McGeer -/- Pluralistic folk psychology and varieties of self-knowledge : an exploration Kristin Andrews -/-. (shrink)

Is autism a condition internal to the person that causes problems in social interaction? Or should we conceive of autism primarily at the level of interaction, as a “two-way” phenomenon that develops in the relation between the person with autism and her social-material environment? Over the last decade or so, this issue has increasingly gained interest, not only in academia, but also in the field of mental health care and in the wider public domain.Much is at stake here. Framing autism (...) as an internal deficit or rather as an interaction phenomenon has far-reaching implications for scientific research and clinical practice. It steers the focus of autism research by determining the kind of... (shrink)

The development of self-knowledge or self-insight is a well-recognized therapeutic factor in psychotherapy. In some way or other, all evidence-based therapies seek to reframe and enrich patients’ own understanding of themselves. In this article, we focus on self-knowledge with respect to mental states, in particular those states that cause patients to seek treatment.As an example, imagine a person who enrolls in psychotherapy because he finds himself unable to commit himself to intimate relationships. During the first session, he tells his therapist (...) about his youth, about how his father abandoned him and his mother when he was 8 years old. At one point he says, “I guess I’m... (shrink)

The article proposes a novel approach to mental agency that is inspired by Victoria McGeer’s work on self-regulation. The basic idea is that certain mental acts leave further work to be done for an agent to be considered an authoritative self-ascriber of corresponding dispositional mental states. First, we discuss Richard Moran’s account of avowals, which grounds first-person authority in deliberative, self-directed agency. Although this view is promising, we argue that it ultimately fails to confront the empirical gap between occurrent judgments (...) and dispositional beliefs. Second, we show how Victoria McGeer's account of self-regulation allows us to bridge this gap by emphasizing that avowals are only reliable and authoritative insofar as we take certain steps to live up to the commitments inherent in our self-ascriptions. Third, we address the question whether and to what extent self-regulation can be seen as a form of mental agency. Unlike the ‘pure’ deliberative form of mental agency advocated by Moran, which is direct, conscious and intra-personal, we follow McGeer and argue for a notion of mental agency as an indirect, unconscious and inter-personal process of self-regulation. (shrink)

This special issue is a follow-up on a previous issue in this journal on self-management in psychiatry and psychosomatic medicine. It is the concluding chapter of a research project that sought to unpack and develop the implications of an understanding of self-management in psychiatry and psychosomatic medicine as “management of the self.”Over the last, 20 years, self-management has gained a central place in treatment programs across various medical disciplines. It positions patients as “expert-clients,” who share knowledge, responsibilities and expertise with (...) health professionals, and it actively involves them in the management of their own care (Crawford, Lee, May, & Active Self-Care... (shrink)

In this article we analyze the strengths and weaknesses of mindreading versus embodied cognition approaches to emotion understanding. In the first part of the article we argue that mindreading explanations of how we understand the emotions of others (TT, ST or hybrid) face a version of the frame problem, i.e. the problem of how to limit the scope of the information that is relevant to mindreading. Also, we show that embodied cognition explanations are able to by-pass this problem because they (...) provide a characterization of social understanding as being essentially situated. However, embodied cognition explanations seem to be limited in scope insofar as they do not target the more sophisticated forms of emotion understanding that have traditionally been the main focus of mindreading explanations. In the second part of the article we discuss Goldie’s account of emotion understanding as a possible way to complement embodied cognition approaches without re-introducing the frame problem. We offer two suggestions that might further the integration of Goldie’s account of emotion understanding within the framework of embodied cognition. (shrink)

Understanding lone actor grievance-fueled violence remains a challenge. We believe that the concept of grievance provides an opportunity to add an engaged, first-person perspective to the assessment of lone actor extreme violence. We propose an enactivist philosophical approach that can help to understand the why and how of the pathway from grievance to violent extremism. Enactivism sees grievance as a dynamic, interpersonal, and context-sensitive construct that indicates how offenders make sense of the world they live in and how under certain (...) circumstances it fuels violent behavior. Hence, grievance should not be understood as a given thing, but as an unfolding experience that involves sense-making through interaction with the environment. This relational and ecological understanding requires another approach than looking at demographic factors or life histories, only from an outsider’s perspective. Enactivism invites us to look at such risk factors as external indices of an ongoing process of active self-regulation and sense-making, and in some cases spiraling toward extreme violence. To understand the mindset of the offender we need to look more in depth at the processes that shape this mindset: why does this person, with this history, in this context, and at this point in time, proceed to use violence? The enactivist approach to the mind offers a complementary framework that may help us to understand the dynamics of grievance as a possible precursor to violent extremism. It also helps to appreciate why the relative unpredictability of the pathway toward lone actor extreme violence is not necessarily a sign of empirical weakness but a matter of principle due to the non-linearity of the processes involved. We end by summarizing how enactivism could contribute to the prevention of extremist violence and research and how it can help to avoid reinforcing stigmas and re-establishing a confirmation bias. (shrink)

In her commentary, Kennett helpfully reiterates Pickard’s criticism of Strawsonian theories of blame. Angry forms of blame like resentment are, according to Pickard, characterized by a sense of entitlement and are counterproductive to therapy. Some disagree that entitlement is a necessary condition for emotional blame, but also more permissive understandings of Strawsonian emotional blame have been considered inappropriate and counterproductive in a therapeutic relationship and on a psychiatric ward.We proposed to bracket definitional issues about the meaning of emotional blame and (...) instead looked at the possible therapeutic role of negative affect in clinical settings. Our paper conceptualizes... (shrink)

First-person authority, self-regulation and the problem of confabulation In this paper we discuss the implications of confabulation studies for the everyday concept of first-person authority. We argue that the results of these studies are less problematic than they are often taken to be if we understand first-person authority in terms of a capacity for self-regulation. We discuss an example of clinical confabuluation to illustrate when confabulation does become a threat to first-person authority.

In his thoughtful commentary, De Bruin invites us to say more about the notion of causation in our two-dimensional model of self-management in health care. In particular, he thinks there is a tension between 1) self-management-as-facilitation being causally efficacious and 2) “surgical” self-management interventions on specific variables being practically impossible in psychiatric conditions due to their complex dynamic nature. In particular, he asks us: “How can we establish the causal efficacy of these intentions if we are dealing with complex dynamic (...) systems that do not allow for precise surgical interventions?”. The assumption seems to be that one can only... (shrink)

Amsterdam University Press is a leading publisher of academic books, journals and textbooks in the Humanities and Social Sciences. Our aim is to make current research available to scholars, students, innovators, and the general public. AUP stands for scholarly excellence, global presence, and engagement with the international academic community.

Do psychopaths suffer from impairments that undermine their capacity for moral reasoning and behavior? And, if so, does that mean they are not morally responsible for their actions? The first, empirical question might seem to be rather straightforward, whereas the second, philosophical question might seem more complex and therefore more difficult to answer. In their rich and thought-provoking paper, Jalava and Griffiths target the first question. They forcefully remind us of the fact that answering empirical questions can be just as (...) complex as answering philosophical ones. Do psychopaths suffer from responsibility-relevant moral impairments? Based on the empirical data Jalava and Griffiths discuss in their... (shrink)