This paper examines two influential theoretical frameworks, set forth by Russell Barkley (1997) and Thomas Brown (2005), and argues that important headway in understanding attention deficit hyperactivity disorder can be made if we acknowledge the way in which human cognition and action are essentially embodied and enactive. The way in which we actively make sense of the world is structured by our bodily dynamics and our sensorimotor engagement with our surroundings. These bodily dynamics are linked to an individual's concerns and (...) felt needs, so that what she attends to in perception, decision-making, and action is partially constituted by her cares and concerns. What I call ?affective framing? engages the whole living body, and ordinarily contributes to attentional focusing, working memory, goal-formulation, and action-monitoring. However, due to affective framing deficits, subjects with ADHD find it difficult to focus their attention, kindle their motivation, and systematically simplify cognitive procedures according to considerations of relevance, salience, and context. Thus, what is impaired in ADHD is not simply a set of executive brain functions, but rather a range of bodily dynamics through which subjects engage with their world. For this reason, intensive behavioral intervention that engages the whole living body may be the most effective, lasting treatment for ADHD. (shrink)

In an earlier paper (Biggs, 2007) I argue that those attributing mental states sometimes simulate the phenomenal states of those to whom they are making attributions (i.e., targets). In this paper I argue that such phenomenal simulation plays an important role in some third-person mental state attributions. More specifically, I identity three important roles that phenomenal simulation could play in third-person mental state attributions: phenomenal simulation could cause attributions, facilitate attributions, or deepen simulators' understanding of targets. I then argue that (...) phenomenal simulation sometimes deepens simulators' understanding of targets, regardless of whether it causes or facilitates any attributions. Accordingly, I conclude that phenomenal simulation plays an important role some third-person mental state attributions. I close by briefly considering how this conclusion relates to the theory-theory versus simulation-theory debate. (shrink)

In recent decades, attempts to explain autism have been frustrated by the heterogeneous nature of its behavioral symptoms and the underlying genetic, neural, and cognitive mechanisms that produce them. This has led some to propose eliminating the category altogether. The eliminativist inference relies on a conception of psychiatric categories as kinds defined by their underlying mechanistic structure. I review the evidence for eliminativism and propose an alternative model of the family of autisms. On this account, autism is a network category (...) defined by a set of idealized exemplars linked by multiple levels of theoretically significant properties. I argue that this network model better captures the empirical phenomena, the historical growth of the category, and the ways the category has been shaped by social norms and interests. Finally, I defend a realist interpretation of network categories against the challenge from eliminativists. (shrink)

Autism spectrum disorder (ASD) is a neuro-developmental condition, which requires a multi-disciplinary matrix of treatments, including functional, educational, and emotional interventions. The latter mode of treatment entails particular difficulties, inasmuch as the core deficits of this condition seem to challenge the very premises of traditional psychotherapy. Reciprocity, verbal, and symbolic expression and inter-subjective dynamics are often difficult to attain with clients diagnosed with ASD, and emotional treatment thus often turns out to be a frustrating process, which may well elicit questions (...) as to the efficacy of psychotherapeutic emotional interventions. These core challenges, described in the literature, become particularly acute in view of the increasing number of clients diagnosed on the autistic spectrum in recent years, and the growing need for qualified therapists who have trained for working specifically with this condition. It seems, therefore, that it is high time for systematic research into the lived experience of therapists working with these clients in order to attain a better clinical and theoretical understanding of the condition itself and broaden the range of effective interventions. This study, informed by a phenomenological-hermeneutic approach which guided both the collection of data and its subsequent analysis, aims to address these issues by exploring the particular challenges faced by therapists in this field, the questions that come up in the process, modes of personal and professional coping, and the insights elicited by the therapeutic encounter. The research consisted of in-depth interviews with 28 practicing therapists from a broad range of clinical orientations, including dance/movement, arts, music, and drama therapists, clinical psychologists, and clinical social workers. The essential themes that emerged from the participants’ responses and the analysis of the findings lend support to theoretical and developmental approaches, which focus on the primacy and the foundational role of the concrete body in inter-subjective relationships and in the therapeutic process, and indicate the potential efficacy of somatic and kinetic interventions. The clinical implications of this study are thus highly relevant to the training and support of therapists working with ASD, who should be encouraged to develop greater receptivity to non-verbal modes of interaction in the therapeutic process. (shrink)

While there is an increasing focus on the use of online networks among autistic users, how autistic adults communicate in social networking sites remains underexplored. The article puts forward an argument for combining systematic observation of digital practices with analysis of evaluative language in order to provide a situated account of ‘autistic sociality’ in social media. Drawing on practice-based theories of social media affordances and discourse analysis research on online self-presentation and affiliation we show how autistic Twitter users rely on (...) association, content persistence and editability in order to signal social engagement through different forms of interaction and alignment. We discuss how the proposed framework can provide a new perspective on communicative practices of autistic social media users and advance development of inclusive digital networking platforms. (shrink)

In this paper I home in on an ethical phenomenon that is powerfully elucidated by means of enactive resources but that has, to my knowledge, not yet been explicitly addressed in the literature. The phenomenon in question concerns what I will term the paradox of moral perception, which, to be clear, does not refer to a logical but to a phenomenological-practical paradoxicality. Specifically, I have in mind the seemingly contradictory phenomenon that perceiving persons as moral subjects is at once incredibly (...) easy and incredibly difficult; it is something we do nearly effortlessly and successfully all the time without giving it much thought and it is something that often requires effort and that we fail at all the time. As I will argue, enactivism offers distinctive resources for explaining the paradoxical nature of moral perception. These resources, moreover, bring out two important dimensions of ethical life that are frequently overlooked in contemporary ethical theory: namely the embodied and socio-technical environment-embedded dimensions of moral perception and moral visibility. As I make my argument, I will be connecting enactivism with insights from David Hume’s and Iris Murdoch’s moral philosophy as well as insights from the field of Epistemic Injustice. As such, I aim to situate enactivism within the larger theoretical ethical landscape; showing connections with existing ethical theories and identifying some of the ways in which enactivism offers unique contributions to our understanding of ethical life. While doing so, I will furthermore introduce two forms of moral misperception: particular moral misperception and categorial moral misperception. (shrink)

Autism research is increasingly moving to a view centred around sensorimotor atypicalities instead of traditional, ethically problematical, views predicated on social-cognitive deficits. We explore how an enactivist approach to autism illuminates how social differences, stereotypically associated with autism, arise from such sensorimotor atypicalities. Indeed, in a state space description, this can be taken as a skewing of sensorimotor variables that influences social interaction and so also enculturation and habituation. We argue that this construal leads to autism being treated on a (...) par with other sensorimotor atypicalities such as blindness or atypical height. This leads to our conclusion that, insofar there is an ethical call to inclusion in our public sphere regardless of contingent bodily difference, an enactivist take on autism naturally leads to extending such inclusion to autism. Moreover, our analysis suggests a concrete way forward to achieve inclusion of autistics: by being more attentive to autistic sensorimotor specifics. (shrink)

In the decade and a half since the appearance of Varela, Thompson and Rosch's workThe Embodied Mind,enactivism has helped to put experience and consciousness, conceived of in a distinctive way, at the forefront of cognitive science. There are at least two major strands within the enactive perspective: a broad view of what it is to be an agent with a mind; and a more focused account of the nature of perception and perceptual experience. The relation between these two strands is (...) discussed, with an overview of the papers presented in this volume. (shrink)

The question “What is the relationship between the self and mental disorder?” is especially important for mental health professionals interested in understanding and treating patients, as most mental disorders are intimately tied to self‐related concerns, such as loss of self‐esteem and self‐control, or diminished agency and autonomy. Philosophy, along with the cognitive and behavioral sciences, offers a wealth of conceptual and empirical resources to answer this question, as the concepts of the self and psychopathology have occupied a central place in (...) these fields since their inception. Interestingly, and unfortunately, however, scientific psychiatry, in its approach to mental disorder as primarily a cluster of signs and symptoms has been slow in acknowledging the advances in conceptualizing and investigating mental disorders in relation to the self. The article addresses this problem and offers solutions for better cross‐fertilization between empirical and philosophical inquiry into the self and psychiatric research on mental disorders. The first part evaluates what empirically informed philosophical inquiry and philosophically informed empirical inquiry offer to the examination of the relationship between the self and mental disorders. The second part argues that scientific psychiatry has missed opportunities to find effective treatments for mental disorders because of its insularity from debates in naturalistic philosophy and cognitive and behavioral sciences. Psychiatry has much to gain from the conceptual, scientific, and clinical resourcefulness of philosophy's collaboration with the cognitive and behavioral sciences. (shrink)

This paper argues for a comprehensive conception of empathy as comprising epistemic, affective, and motivational elements and introduces the ancient Stoic theory of attachment as a model for describing the embodied, emotional response to others that we take to be distinctive of empathy. Our argument entails that in order to provide a suitable conceptual framework for the interdisciplinary study of empathy one must extend the scope of recent “simulationalist” and “enactivist” accounts of empathy in two important respects. First, against the (...) enactivist assumption that human mindreading capacities primarily rely on an immediate, quasi-perceptual understanding of other’s intentional states, we draw on Alfred Schutz’ analysis of social understanding to argue that reflective types of understanding play a distinct, but equally fundamental role in empathic engagements. Second, we insist that empathy also involves an affective response toward the other and their situation. We suggest analyzing this response in terms of the Stoic concepts of attachment, concern, and a fundamental type of prosocial motivation, that can best be described as an “extended partiality.” By way of conclusion, we integrate the above concepts into a comprehensive conceptual framework for the study of empathy and briefly relate them to current debates about empathic perception and prosocial motivation. The result, we argue, is an account that stays neutral with regard to the exact nature of the processes involved in producing empathy and can therefore accommodate discussion across theoretical divides—e.g., those between enactivist, simulationalist, and so-called theory-theorist approaches. (shrink)

Alvin I. Goldman, Simulating Minds: The Philosophy, Psychology and Neuroscience of Mindreading Content Type Journal Article Pages 279-282 DOI 10.1007/s11023-009-9142-x Authors Susan Stuart, University of Glasgow Humanities Advanced Technology and Information Institute 11 University Gardens Glasgow G12 8QQ Scotland, UK Journal Minds and Machines Online ISSN 1572-8641 Print ISSN 0924-6495 Journal Volume Volume 19 Journal Issue Volume 19, Number 2.

What someone’s behaviour must be like if we are to be aware of their emotions in it Content Type Journal Article Pages 1-14 DOI 10.1007/s11097-011-9224-0 Authors Rowland Stout, School of Philosophy, UCD Dublin, Dublin 4, Republic of Ireland Journal Phenomenology and the Cognitive Sciences Online ISSN 1572-8676 Print ISSN 1568-7759.

The paper is concerned with the metaphysics of emotion. It defends the claim that all emotional states, whether dormant or active, are dispositional, arguing against the prevailing view that dispositional emotional states are dispositions to go into actual emotional states. A clear distinction may be made between first-order and second-order emotional dispositions, where second-order emotional dispositions are dispositions of emotional sensitivity and first-order emotional dispositions are the emotional states themselves. Active emotional states are treated as dispositional emotional states in the (...) process of being manifested, not as different states altogether. Describing active states as occurrent states is misleading as it suggests an exclusive distinction between active/occurrent and dispositional, which is what is being questioned. The idea that dispositional states have no subjectivity is challenged, as is the argument that being flooded with a feeling as a result of an encounter with a frightening or aggravating situation cannot be the manifestation of a disposition. (shrink)

The paper defends a version of the perceptual account of bodily feelings, according to which having a feeling is feeling something about one’s body. But it rejects the idea, familiar in the work of William James, that what one feels when one has a feeling is something biological about one’s body. Instead it argues that to have a bodily feeling is to feel an apparent bodily indication of something – a bodily appearance. Being aware of what one’s body is apparently (...) indicating to one is being aware of something about one’s body, but the focus of attention is on what is apparently being indicated, which is not something about one’s body. This is one way of making sense of the idea in contemporary phenomenology that the body is conspicuous in feelings that do not take the body as an object of awareness. Bodily inclinations are apparent indications of what one is going to do, and it is argued that feeling one’s bodily inclinations constitutes an important class of bodily feelings – e.g. feeling like crying or feeling like being sick. Such inclinations are often felt through a process of resisting them. Bodily inclinations also have some intentionality, albeit quite limited, and this goes some way towards explaining Peter Goldie’s concept of feelings towards. (shrink)

The orthodox view of social cognition maintains that mentalizing is an important and pervasive element of our ordinary social interactions. The orthodoxy has come under scrutiny from various sources recently. Critics from the phenomenological tradition argue that phenomenological reflection on our social interactions tells against the orthodox view. Proponents of pluralistic folk psychology argue that our ordinary social interactions extend far beyond mentalizing. Both sorts of critics argue that emphasis in social cognition research ought to be on other elements of (...) our social practices. In this paper, I consider social explanations specifically and argue that social explanations are implicated in many of the social practices highlighted by critics of the orthodox view. (shrink)

Recently, philosophers and psychologists defending the embodied cognition research program have offered arguments against mindreading as a general model of our social understanding. The embodied cognition arguments are of two kinds: those that challenge the developmental picture of mindreading and those that challenge the alleged ubiquity of mindreading. Together, these two kinds of arguments, if successful, would present a serious challenge to the standard account of human social understanding. In this paper, I examine the strongest of these embodied cognition arguments (...) and argue that mindreading approaches can withstand the best of these arguments from embodied cognition. (shrink)

Autistic spectrum disorders impair the ability to interact socially. Detecting and understanding their onset is not only an empirical enterprise, but also a theoretical one, often linked to studies on intersubjectivity. Different theoretical perspectives have been elaborated in the past to account for the deficit. The main purpose of this paper is to reinforce and offer empirical grounding to a recent approach, termed Social Orienting Model, by presenting the main theoretical approaches to autism and contrasting them to this view, as (...) well as considering its possible effect on empirical research, focusing on current literature analyzing gestures in children with autism. (shrink)

Abstract ?Theory of Mind? (ToM) is widely held to be ubiquitous in our navigation of the social world. Recently this standard view has been contested by phenomenologists and enactivists. Proponents of the ubiquity of ToM, however, accept and effectively neutralize the intuitions behind their arguments by arguing that ToM is mostly sub-personal. This paper proposes a similar move on behalf of the phenomenologists and enactivists: it offers a novel explanation of the intuition that ToM is ubiquitous that is compatible with (...) the rejection of this ubiquity. According to this explanation, we use ToM-talk primarily to model and thereby reconstruct non-mentalizing social-cognitive processes in order to explain our assessment of the behaviour of others. The intuition that ToM is ubiquitous is the result of mistaking the model for the real thing. This explanation is argued to be more complete than the ?ToM-ist? explanation of the intuition that ToM is not ubiquitous. (shrink)

In the first section of this paper I argue that the main reason why Daniel Dennett’s Intentional Systems Theory (IST) has been perceived as behaviourist or antirealist is its inability to account for the causal efficacy of the mental. The rest of the paper is devoted to the claim that by emending the theory with a phenomenon called ‘empathic resonance’ (ER), it can account for the various explananda in the mental causation debate. Thus, IST + ER is a much more (...) viable option than IST, even though IST + ER assigns a crucial role to the phenomenology of agency, a role that is incompatible with Dennett’s writings on consciousness. (shrink)

One of the central insights of the embodied cognition (EC) movement is that cognition is closely tied to action. In this paper, I formulate an EC-inspired hypothesis concerning social cognition. In this domain, most think that our capacity to understand and interact with one another is best explained by appeal to some form of mindreading. I argue that prominent accounts of mindreading likely contain a significant lacuna. Evidence indicates that what I call an agent’s actional processes and states—her goals, needs, (...) intentions, desires, and so on—likely play important roles in and for mindreading processes. If so, a full understanding of mindreading processes and their role in cognition more broadly will require an understanding of how actional mental processes interact with, influence, or take part in mindreading processes. (shrink)

This paper, in opposition to the standard theories of social cognition found in psychology and cognitive science, defends the idea that direct perception plays an important role in social cognition. The two dominant theories, theory theory and simulation theory , both posit something more than a perceptual element as necessary for our ability to understand others, i.e., to “mindread” or “mentalize.” In contrast, certain phenomenological approaches depend heavily on the concept of perception and the idea that we have a direct (...) perceptual grasp of the other person’s intentions, feelings, etc. This paper explains precisely what the notion of direct perception means, offers evidence from developmental studies, and proposes a non-simulationist interpretation of the neuroscience of mirror systems. (shrink)

Pretend play is generally considered to be a developmental landmark in Theory of Mind acquisition. The aim of the present paper is to offer a new account of the role of pretend play in Theory of Mind development. To this end I combine Hutto and Gallagher’s account of social cognition development with Matravers’ recent argument that the cognitive processes involved in engagement with narratives are neutral regarding fictionality. The key contribution of my account is an analysis of pretend play as (...) interaction with fictions. I argue that my account offers a better explanation of existing empirical data on the development of children’s pretend play and Theory of Mind than the competing theories from Leslie, Perner and Harris. (shrink)

We introduce two concepts—social certainty and social doubt—that help to articulate a variety of experiences of the social world, such as shyness, self-consciousness, culture shock, and anxiety. Following Carel's (2013) analysis of bodily doubt, which explores how a person's tacit confidence in the workings of their body can be disrupted and undermined in illness, we consider how an individual's faith in themselves as a social agent, too, can be compromised or lost, thus altering their experience of what is afforded by (...) the social environment. We highlight how a loss of bodily or social certainty can be shaped and sustained by the environments in which one finds oneself. As such, we show how certain individuals might be more vulnerable to experiences of bodily and social doubt than others. (shrink)

Proponents of the so-called “interactive turn in social cognition research” maintain that mainstream research on social cognition has been fundamentally flawed by its neglect of social interaction, and that a new paradigm is needed in order to redress this shortcoming. We argue that proponents of the interactive turn (“interactionists”) have failed to properly substantiate their criticisms of existing research on social cognition. Although it is sometimes unclear precisely what these criticisms of existing theories are supposed to target, we sketch two (...) possibilities: interactionists can either accept the primary explanandum addressed by mainstream social cognition research—namely mindreading—and claim that interactionism contributes some hitherto neglected but necessary component of a successful explanans, or they can argue that mainstream research has focused on a misconceived explanandum. We argue that interactionist claims of both sorts are problematic. (shrink)

According to ‘direct social perception’ (DSP) accounts of social cognition, perception may be ‘smart’ enough on its own to inform us about other people’s emotions. Some DSP advocates suggest that ‘smart’ social perception should be conceived along ‘enactive’ lines. In this paper, I suggest that DSP needs social perception to have representational content. This seems in tension with the main versions of enactivism, which deny that perception is representational. I thus present the following challenge to ‘enactive’ versions of DSP: either (...) they show how perception can have the requisite smartness without representational content, which I doubt that they can, or they embrace the orthodox idea that perceptual experiences have representational contents. I also suggest that DSP defenders, whether or not they want to be enactivists, can cheerfully accept the latter idea. (shrink)

Can we see the expressiveness of other people's gestures, hear the intentions in their voice, see the emotions in their posture? Traditional theories of social cognition still say we cannot because intentions and emotions for them are hidden away inside and we do not have direct access to them. Enactive theories still have no idea because they have so far mainly focused on perception of our physical world. We surmise, however, that the latter hold promise since, in trying to understand (...) cognition, enactive theory focuses on the embodied engagements of a cognizer with his world. In this paper, we attempt an answer for the question What is social perception in an enactive account? In enaction, perception is conceived as a skill, crucially involving action, an ability to work successfully within the set of regularities, or contingencies that characterize a given domain. If this is the case, then social perception should be a social skill. Having thus transformed the question of what social perception is into that of what social skill is, we examine the concept of social contingencies and the manner in which social skills structure—both constrain and empower— social interaction. Some of the implications of our account for how social and physical perception differ, the role of embodiment in social interaction and the distinction between our approach and other social contingency theories are also addressed. (shrink)

This paper will philosophically extend Julian Leff’s Avatar therapy paradigm (AT) for voice-like hallucinations that was initially proposed for treatment-resistant Schizophrenia patients into the realm of gesture-enhanced embodied cognition and Virtual Reality (VR), entitled g+TA (gesture-enhanced Avatar Therapy). I propose an philosophy of technology approach of embodied rhetorics of triadic kinetic “actions” in the sense of Charles Sanders Peirce that transforms the voice hallucination incorporated by an avatar- and that can confront acousmatic voice-like hallucinations with a method of gesture synchronization (...) and dyssynchronization and gestural refusal of interaction that the player with the Avatar can resist in full embodiment. This paper therefore introduces a gesture-enhanced, extended version of Cybertherapy with Avatars that tackle multimodal bodily experience of voice-like hallucinations beyond mere visual or auditory stimulation. This is put forward theoretically in a 4E-cognition approach that expands Avatar Therapy with gestures into VR. (shrink)

Recent enactive approach to social cognition stresses the indispensability of social affordance with regard to social understanding and contends that it is affordance that primarily solicits one’s reaction to the other, such that one becomes affected by the other and attends to the other’s situated appearance in the first place. What remains to be explored, however, is the sense in which social affordance is delineated by an affective sphere and the extent to which the affective sphere serves as a meaning (...) constraint for social sense-making. In this paper, we analyze Husserl’s genetic theory of affection, so as to better understand the nature of the social affective sphere. And we argue that social understanding takes places at different levels and it is at the passive and pre-reflective level that the social surroundings are pre-delineated by a sort of affective ambience where the empathizer and the empathizee come into contact. Once this is appreciated, we can better articulate the affective structure of social affordance and its meaning constituents. And we show that, at the passive level, social coupling is in nature an affective intertwinement between oneself and the other and it consists of a particular kind of corporeal intentionality with which one adverts to the other’s presence and responds to the other’s appeal. (shrink)

A dispute in epistemology has arisen over whether some class of things epistemic (things known or justified, for example) is closed under some operation involving the notion of what follows deductively from members of this class. Very few philosophers these days believe that if you know that p, and p entails q, then you know that q. But many philosophers think that something weaker holds, for instance that if you know that p, and p entails q, then you are in (...) a position to know that p, or if you know that p and you competently deduce p from q, then you know that q. However there are some considerations tracing back to Wittgenstein’s On Certainty and some early work by Fred Dretske that suggests even these weaker principles are false. (shrink)

The extended mind thesis (EM) asserts that some cognitive processes are (partially) composed of actions consisting of the manipulation and exploitation of environmental structures. Might some processes at the root of social cognition have a similarly extended structure? In this paper, I argue that social cognition is fundamentally an interactive form of space management—the negotiation and management of ‘‘we-space”—and that some of the expressive actions involved in the negotiation and management of we-space (gesture, touch, facial and whole-body expressions) drive basic (...) processes of interpersonal understanding and thus do genuine social-cognitive work. Social interaction is a kind of extended social cognition, driven and at least partially constituted by environmental (non-neural) scaffolding. Challenging the Theory of Mind paradigm, I draw upon research from gesture studies, developmental psychology, and work on Moebius Syndrome to support this thesis. (shrink)

The Narrative Practice Hypothesis (NPH) is a recently conceived, late entrant into the contest of trying to understand the basis of our mature folk psychological abilities, those involving our capacity to explain ourselves and comprehend others in terms of reasons. This paper aims to clarify its content, importance and scientific plausibility by: distinguishing its conceptual features from those of its rivals, articulating its philosophical significance, and commenting on its empirical prospects. I begin by clarifying the NPH's target explanandum and the (...) challenge it presents to theory theory (TT), simulation theory (ST) and hybrid combinations of these theories. The NPH competes with them directly for the same explanatory space insofar as these theories purport to explain the core structural basis of our folk psychological (FP)-competence (those of the sort famously but not exclusively deployed in acts of third-personal mindreading). (shrink)

This paper promotes the view that our childhood engagement with narratives of a certain kind is the basis of sophisticated folk psychological abilities —i.e. it is through such socially scaffolded means that folk psychological skills are normally acquired and fostered. Undeniably, we often use our folk psychological apparatus in speculating about why another may have acted on a particular occasion, but this is at best a peripheral and parasitic use. Our primary understanding and skill in folk psychology derives from and (...) has its primary application in special kinds of second-personal engagements. (shrink)

This manuscript explores intersubjectivity through a conceptual construct for meaning-making that emphasizes three major interrelated elements–meaning making in interaction, making meaning with the body as well as the mind, and meaning making within an open dynamic system. These three elements are present in the literature on intersubjectivity with a wide range of terms used to describe various theoretical formulations. One objective of this manuscript is to illustrate how such a construct can be useful to understand the meaning-making observed in psychoanalysis, (...) such as in the treatment of a young child on the autistic spectrum. The challenges in establishing an intersubjective state with a child on the autistic spectrum serve to highlight important features of intersubjectivity. As an important background to this clinical illustration, we illustrate the construct with the scientific paradigm of the well-known face-to-face still-face. (shrink)

Recent studies have revealed a drop in the ability of physicians to empathize with their patients. It is argued that empathy training needs to be provided to both medical students and physicians in order to improve patient care. While it may be true that empathy would lead to better patient care, it is important that the right theory of empathy is being encouraged. This paper examines and critiques the prominent explanation of empathy being used in medicine. Focusing on the component (...) of empathy that allows us to understand others, it is argued that this understanding is accomplished through a simulation. However, simulation theory is not the best explanation of empathy for medicine, since it involves a limited perspective in which to understand the patient. In response to the limitations and objections to simulation theory, interaction theory is presented as a promising alternative. This theory explains the physicians understanding of patients from diverse backgrounds as an ability to learn and apply narratives. By explaining how we understand others, without limiting our ability to understand various others, interaction theory is more likely than simulation theory to provide better patient care, and therefore is a better theory of empathy for the medical field. (shrink)

Bioethics has begun to see the revaluation of affects in medical practice, but not all of them, and not necessarily in the sense of affects as we know them. Empathy has been accepted as important for good medical practice, but only in a way that strips it of its affectivity and thus prevents other affects, like sympathy, from being accepted. As part of a larger project that aims at revaluing the importance of affectivity in medical practice, the purpose of this (...) paper is to develop a clinical sympathy that can serve as a trainable skill for medical professionals. While everyday sympathy may be problematic as a professional skill for physicians, this does not imply that sympathy should be entirely rejected. As a natural part of our moral psychology, sympathy is an intersubjective affect that aids in our interactions with others and our decision-making abilities. I present here a theory of clinical sympathy as an affective response to patients, in which physicians are both attuned to their affective response and understand how their affects are influencing their beliefs and judgments. In this way, clinical sympathy serves as a trainable skill that can aid physicians in their interactions with their patients. (shrink)

This paper will philosophically extend Julian Leff’s Avatar therapy paradigm (AT) for voice-like hallucinations that was initially proposed for treatment-resistant Schizophrenia patients into the realm of gesture-enhanced embodied cognition and Virtual Reality (VR), entitled g+TA (gesture-enhanced Avatar Therapy). I propose an philosophy of technology approach of embodied rhetorics of triadic kinetic “actions” in the sense of Charles Sanders Peirce that transforms the voice hallucination incorporated by an avatar- and that can confront acousmatic voice-like hallucinations with a method of gesture synchronization (...) and dyssynchronization and gestural refusal of interaction that the player with the Avatar can resist in full embodiment. This paper therefore introduces a gesture-enhanced, extended version of Cybertherapy with Avatars that tackle multimodal bodily experience of voice-like hallucinations beyond mere visual or auditory stimulation. This is put forward theoretically in a 4E-cognition approach that expands Avatar Therapy with gestures into VR. (shrink)

As an alternative to linear and unidimensional perspectives focused mainly on either organic or psychological processes, the enactive approach to life and mind—a branch of 4-E cognitive theories—offers an integrative framework to study mental disorders that encompasses and articulates organic, sensorimotor, and intersubjective dimensions of embodiment. These three domains are deeply entangled in a non-trivial manner. A question remains on how this systemic and multi-dimensional approach may be applied to our understanding of mental disorders and symptomatic behavior. Drawing on Gilbert (...) Simondon’s philosophy of individuation, we provide some enactive conceptual tools to better understand the dynamic, interactive, and multi-dimensional nature of human bodies in mental disorders and psychopathological symptoms. One of such tools cursiva is sense-making, a key notion that captures the relational process of generating meaning by interacting with the sociomaterial environment. The article analyzes five aspects related to sense-making: temporality, adaptivity, the multiplicity of normativities it involves, the fundamental role of tension, and its participatory character. On this basis, we draw certain implications for our understanding of mental disorders and diverse symptoms, and suggest their interpretation in terms of difficulties to transform tensions and perform individuation processes, which result in a reduction of the field of potentialities for self-individuation and sense-making. (shrink)

Since the publication of Premack and Woodruff’s classic paper introducing the notion of a ‘theory of mind’ :515–526, 1978), interdisciplinary research in social cognition has witnessed the development of theory–theory, simulation theory, hybrid approaches, and most recently interactionist and perceptual accounts of other minds. The challenges that these various approaches present for each other and for research in social cognition range from adequately defining central concepts to designing experimental paradigms for testing empirical hypotheses. But is there any approach that promises (...) to dominate future interdisciplinary research in social cognition? Is social cognition witnessing a gradual paradigm shift where hitherto grounding notions such as theory of mind are no longer viewed as explanatorily necessary? Or have we simply lost our way in attempting to devise adequate experimental setups that could sway the debate in favour of one of the contending accounts? This special issue addresses these questions in an attempt to discover what the future holds for interdisciplinary research in social cognition. (shrink)

In opposition to mainstream theory of mind approaches, some contemporary perceptual accounts of social cognition do not consider the central question of social cognition to be the problem of access to other minds. These perceptual accounts draw heavily on phenomenological philosophy and propose that others' mental states are “directly” given in the perception of the others' expressive behavior. Furthermore, these accounts contend that phenomenological insights into the nature of social perception lead to the dissolution of the access problem. We argue, (...) on the contrary, that the access problem is a genuine problem that must be addressed by any account of social cognition, perceptual or non-perceptual, because we cannot cast the access problem as a false problem without violating certain fundamental intuitions about other minds. We elaborate the fundamental intuitions as three constraints on any theory of social perception: the Immediacy constraint; the Transcendence constraint; and the Accessibility constraint. We conclude with an outline of an account of perceiving other minds that meets the three constraints. (shrink)

This special issue targets two topics in social cognition that appear to increasingly structure the nature of interdisciplinary discourse but are themselves not very well understood. These are the notions of empathy and embodiment. Both have a history rooted in phenomenological philosophy and both have found extensive application in contemporary interdisciplinary theories of social cognition, at times to establish claims that are arguably contrary to the ones made by the phenomenologists credited with giving us these notions. But this special issue (...) is not about defending any philosophical tradition or theoretical stance against all others. It is about understanding some central aspects of the nature of our experience of other people. (shrink)