In lieu of an abstract, here is a brief excerpt of the content:Philosophy, Psychiatry, & Psychology 10.2 (2003) 135-141 [Access article in PDF] On Delusions of Sense:A Response to Coetzee and Sass Rupert Read Keywords schizophrenia, Wittgenstein, Schreber, Faulkner, Benjy, grammar, madness, Cogito The great writings on and of severe mental affliction—those for instance of Schreber, 'Renee', Donna Williams, Artaud, Faulkner's The Sound and the Fury, Coetzee's In the Heart of the Country, Kafka's "Description of a struggle," and even (I (...) would add) key parts of The Lord of the Rings—present us with something deeply enigmatic. They have, we might say, a strong grammar, a grammar—a mode of hanging together, and (in this case) of linguistically seeming to make a sense that is not our sense and that we cannot make sense of—... they have a grammar all of their own, and all of its own, a grammar that resists and rejects interpretation even as it sometimes seems to offer interpretations. 1It was Wittgenstein's view that to make mental illness unpuzzling was a mistake, or (better, perhaps) a mythologically problematic move. Wittgenstein's aim in his philosophizing was to understand what was enigmatic when it could be understood without unwisely turning it into something altogether unpuzzling... and then to acknowledge that there are some things that may remain forever puzzling, without committing oneself to the metaphysically disastrous claim that the reason they are endlessly puzzling is that they lie outside the boundaries of human life, language, or reason, as though we could peek outside those alleged boundaries to see what was there, but never truly say anything about it.There simply may be places where our understanding—phenomenological understanding, understanding of what it is like—gives out, and not because it is (or we are) merely human. For instance, perhaps one cannot capture some mental illness by intellection alone, or even perhaps at all. Perhaps the best understanding one can have of mental illness is purely negative (in a sense at least as strong as that involved in negative theology, wherein God is only defined by what it is not).Louis Sass (2003) writes I am not sure whether or not Read would accept that a philosophical position can be understandable despite its containing deep, internal logical tensions (perhaps he would not). If such understanding is possible, however, it does seem to open the way for a similar understanding of conditions like that of Schreber. (p. 127) Unfortunately, however, it is indeed not possible—that is, this notion is merely a fantasy—by my lights. Philosophical positions, all of which turn out to contain such inexorable tensions, cannot be understood: they are mirages. Solipsism, as a position, is not any better (or worse) off [End Page 135] than (say) (Metaphysical) Realism. They are both mirages, just different aspects of the same nothing. 2 Considered as positions, they are in the end literally—when one understands their logic—one and the same nothing. Wittgenstein already made this quite clear in his Tractatus. Perhaps in contrast to Sass, there is then nothing special about solipsism: it is just one mode of presentation rather than another of the illusion that there can be philosophical positions.Sass claims that in saying this kind of thing I am committed to ruling out that some mental illness can be understood or can even exist, on abstract intellectual grounds. I am not. I am simply wishing to leave open the possibility that there may be things that some people utter or seem to experience which intellection gives us little or no assistance with. If Sass wishes to deny this, then I suggest that it is he and not I who is the absolutist intellectualist here, in insisting that rewriting something deeply strange in a weaker grammar is furthering our grasp of it.My suggestion concerning Faulkner's presentation of Benjy, in my original paper, was that it is a mythological mistake to think that Faulkner provides us with the tools for giving an unpuzzling rendition of what had perhaps appeared to be "another country," inaccessible to us. Rather, Faulkner's representation... (shrink)

Gillett argues that there are unexpected confluences between the tradition of Frege and Wittgenstein and that of Freud and Lacan. I counter that that the substance of the exegeses of Frege and Wittgenstein in Gillett's paper are flawed, and that these mistakes in turn tellingly point to unclarities in the Lacanian picture of language, unclarities left unresolved by Gillett. Lacan on language is simply a kind of enlarged/distorted mirror image of the Anglo-American psychosemanticists: where they emphasize information and representation, he (...) emphasizes evocation and connotation. Neither contrasting emphasis is remotely adequate to linguistic action-in-the-world. Is "the unconscious", as Lacan claims, a "network of signifiers"? Arguably, yes; but most ordinary / actual language does not involve such "signification". Words primarily "signify" concepts or things only in exceptional circumstances; normally, words are transparent, and nothing at all is meant by them except in an actual situation of use of a sentence. Second, is "the unconscious" structured like a language? Again, yes-- if we understand by "language" what Lacan asks us to. "The unconscious" arguably is structured like a language--as Lacan (inadequately) understands language. (shrink)

Wittgenstein once remarked: ?nobody can truthfully say of himself that he is filth. Because if I do say it, though it can be true in a sense, this is not a truth by which I myself can be penetrated: otherwise I should either have to go mad or change myself.? This has an immediate corollary, previously unnoted: that it may be true that someone is simply filth?a rotten person through and through?and also true that they don?t believe that they are (...) filth (or, in a certain sense, that they do), but that it is absurd or means nothing to say ?I?m filth.? Even considering the possibility seriously already prevents it from being true of one that one is (simply) filth. You just can't say ?I'm filth? and mean it. In the act of saying it, it is already untrue. Nor can you even say and mean it: ?it may be true that I?m filth,? and it still be true that you are filth. This paper considers cases of delusional belief and of depressive self-loathing in which people may find themselves believing things along the lines of ?I?m filth.? (shrink)

This paper provides a concise description and discussion of bottom–up and top–down approaches to misattribution of agency in schizophrenia. It explores if first-person accounts of passivity phenomena can provide support for one of these approaches. The focus is on excerpts in which the writers specifically examine their experiences of external influence. None of the accounts provides arguments that fit easily with only one of the possible approaches, which is in line with current attempts to theoretical integration.

This paper provides a concise description and discussion of bottom–up and top–down approaches to misattribution of agency in schizophrenia. It explores if first-person accounts of passivity phenomena can provide support for one of these approaches. The focus is on excerpts in which the writers specifically examine their experiences of external influence. None of the accounts provides arguments that fit easily with only one of the possible approaches, which is in line with current attempts to theoretical integration.

This article examines the supposedly incomprehensibility of schizophrenic delusions. According to the contemporary classificatory systems (DSM-IV-TR and ICD-10), some delusions typically found in schizophrenia are considered bizarre and incomprehensible. The aim of this article is to discuss the notion of understanding that deems these delusions incomprehensible and to see if it is possible to comprehend these delusions if we apply another notion of understanding. First, I discuss the contemporary schizophrenia definitions and their inherent problems, and I argue that the notion (...) of incomprehensibility in these definitions rests heavily on Jaspers’ notions of understanding and empathy. Secondly, I discuss two Wittgensteinian attempts to comprehend bizarre delusions: (a) Campbell’s proposal to conceive delusions as framework propositions and (b) Sass’s suggestion to interpret delusions in the light of solipsism. Finally, I discuss the phenomenological conception of schizophrenia, which conceives delusion formation as resulting from alterations of the structure of experiencing and from underlying self-disorders. I argue that although a psychological understanding that seeks to grasp meaning in terms of motivations, desires, and other more straightforward psychological connections between mental states is impossible in schizophrenia, we can in fact have a philosophical understanding of the schizophrenic world and of the emergence of delusions typically found in schizophrenia. (shrink)

RésuméCet article examine la manière dont Michel Foucault se rapporte à la psychologie et à la psychopathologie phénoménologiques dans les années 1950, à la lumière des nouvelles sources documentaires que nous avons aujourd’hui à notre disposition. Notre contribution se concentre en particulier sur le manuscrit inédit de l’un des cours donnés par Foucault à l’université de Lille entre 1952 et 1954 : le cours sur « Binswanger et la phénoménologie ». L’analyse de ce cours, conçu par Foucault dans le contexte (...) d’une réflexion philosophique sur le problème anthropologique de la psychopathologie, nous permettra enfin de restituer à Foucault la place qui lui revient dans le domaine de la « philosophie de la psychiatrie ». (shrink)

Résumé Cet article expose les tendances actuelles de ce nouveau domaine de recherche qu’est la « philosophie de la psychiatrie » à travers son évolution dans la dernière décade. La première partie se concentre sur le passage d’une approche strictement conceptuelle des thèses issues du savoir psychiatrique à une approche qui prend en compte également les dimensions sociales, pratiques et cliniques de cette discipline. La seconde partie de l’article montre comment l’exigence d’un engagement mutuel de la philosophie et de la (...) psychiatrie a été diversement perçue selon les pays engagés dans le programme de la philosophie de la psychiatrie. L’article s’intéresse en particulier à la France, où l’enthousiasme pour la « nouvelle philosophie de la psychiatrie » n’a pas eu le même retentissement sur la scène philosophique que dans les pays anglophones. Enfin cette contribution montre comment le domaine de la philosophie de la psychiatrie se présente comme un terrain fécond pour de nouvelles formes d’interaction entre la tradition analytique et la tradition continentale, en particulier à partir de la réflexion sur les thèmes de la normativité, du langage et de l’interprétation. (shrink)