Description Is Not Enough: The Real Challenge of Enactivism for Psychiatry

Philosophy, Psychiatry, and Psychology 27 (1):85-87 (2020)
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Abstract

In his article, "Delusion, Reality, and Inter-subjectivity," Thomas Fuchs gives an "enactivist" account of how primary delusions in early schizophrenia evolve. First, subjects experience the "loss of familiar, commonsensical meanings"—known as delusional mood. Consecutively they experience new "revelatory significances," in perception as well as in social interaction, with all experiences becoming radically "subjectivized." Out of these "uncanny, spurious and made" experiences delusions develop. Suddenly the formerly uncanny experiences make sense. This new subjective reality, however, is "rigid." Subjects are no longer able to take on different perspectives. The usually present, shared reality we live by is lost....

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