Abstract

The interpretation of the patient’s extraordinary remarks as indicating disturbances of ipseity turns on the assertion that we should not understand their complaints as ‘merely metaphorical.’ There is an established opinion in psychopathology that patients mean what they say literally. Thus, in thought insertion they believe that thoughts, as mental objects, are actually put inside their heads. The authors follow this tradition when they say that patients construct an inner space and imbue their thoughts and feelings with spatial qualities. The conception of the mind as ‘the auditorium of our inner monologues’ has philosophical precedents. This picture is not of itself pathological, but it can be misleading if we..