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A Theory of Feelings Anger and Forgiveness"My Madness Saved Me"10 Good Questions about Life and Death12 Modern Philosophers50 Reasons People Give for Believing in a GodA Cabinet of Philosophical CuriositiesA Case for IronyA Companion to BioethicsA Companion to Buddhist PhilosophyA Companion to FoucaultA Companion to GenethicsA Companion to GenethicsA Companion to HumeA Companion to KantA Companion to Phenomenology and ExistentialismA Companion to PragmatismA Companion to the Philosophy of ActionA Companion to the Philosophy of BiologyA Companion to the Philosophy of LiteratureA Conceptual History of PsychologyA Critique of Naturalistic Philosophies of MindA Cursing Brain?A Delicate BalanceA Farewell to AlmsA Frightening LoveA Future for PresentismA Guide to the Good LifeA History of PsychiatryA History of the MindA Life Worth LivingA Manual of Experimental PhilosophyA Map of the MindA Metaphysics of PsychopathologyA Mind So RareA Natural History of Human MoralityA Natural History of Human ThinkingA Natural History of VisionA Parliament of MindsA Philosopher Looks at The Sense of HumorA Philosophical DiseaseA Philosophy of BoredomA Philosophy of Cinematic ArtA Philosophy of CultureA Philosophy of EmptinessA Philosophy of FearA Philosophy of PainA Physicalist ManifestoA Place for ConsciousnessA Question of TrustA Research Agenda for DSM-VA Revolution of the MindA Sentimentalist Theory of the MindA Stroll With William JamesA Tear is an Intellectual ThingA Theory of FreedomA Thousand MachinesA Universe of ConsciousnessA Very Bad WizardA Virtue EpistemologyA World Full of GodsA World Without ValuesAbout FaceAbout the Beginning of the Hermeneutics of the SelfAction and ResponsibilityAction in ContextAction Theory, Rationality and CompulsionAction, Contemplation, and HappinessAction, Emotion and WillAdam SmithAdaptive DynamicsAddictionAddictionAddiction and ResponsibilityAddiction Is a ChoiceAdvances in Identity Theory and ResearchAftermathAfterwarAgainst AdaptationAgainst AutonomyAgainst BioethicsAgainst HappinessAgainst HealthAgency and ActionAgency and AnswerabilityAgency and EmbodimentAgency and ResponsibilityAgency, Freedom, and Moral ResponsibilityAl-JununAlain BadiouAlain BadiouAlasdair MacIntyreAlien Landscapes?Altered EgosAn Anthology of Psychiatric EthicsAn Ethics for TodayAn Intellectual History of CannibalismAn Interpretation of DesireAn Introduction to EthicsAn Introduction to Kant's Moral Philosophy An Introduction to Philosophy of EducationAn Introduction to the Philosophy of MindAn Introduction to the Philosophy of MindAn Introduction to the Philosophy of PsychologyAn Introductory Philosophy of MedicineAn Odd Kind of FameAnalytic FreudAnalytic Philosophy in AmericaAncient AngerAncient Models of MindAncient Philosophy of the SelfAngerAnimal LessonsAnimal MindsAnimals Like UsAnnihilationAnother PlanetAnswers for AristotleAnti-ExternalismAnti-Individualism and KnowledgeAntigone’s ClaimAntipsychiatryAre We Hardwired?Are Women Human?Arguing about DisabilityArguing About Human NatureAristotle and the Philosophy of FriendshipAristotle on Practical WisdomAristotle's ChildrenAristotle's Ethics and Moral ResponsibilityAristotle, Emotions, and EducationArt & MoralityArt After Conceptual ArtArt in Three DimensionsArt, Self and KnowledgeArtificial ConsciousnessArtificial HappinessAspects of PsychologismAsylum to ActionAtonement and ForgivenessAttention is Cognitive UnisonAutobiography as PhilosophyAutonomyAutonomy and Mental DisorderAutonomy and the Challenges to LiberalismBabies by DesignBackslidingBadiouBadiou's DeleuzeBadiou, Balibar, Ranciere: Rethinking EmancipationBare Facts And Naked TruthsBasic Desert, Reactive Attitudes and Free WillBattlestar Galactica and PhilosophyBeautyBecoming a SubjectBecoming HumanBehavingBehavioral Genetics in the Postgenomic EraBeing AmoralBeing HumanBeing Mentally Ill: A Sociological Theory Being No OneBeing Realistic about ReasonsBeing ReducedBeing YourselfBelief's Own EthicsBending Over BackwardsBerlin Childhood around 1900Bernard WilliamsBertrand RussellBetter than BothBetter Than WellBetween Two WorldsBeyond HealthBeyond Hegel and NietzscheBeyond KuhnBeyond LossBeyond Moral JudgmentBeyond PostmodernismBeyond ReductionBeyond the DSM StoryBioethicsBioethics and the BrainBioethics in the ClinicBiological Complexity and Integrative PluralismBiology Is TechnologyBiosBipolar ExpeditionsBlackwell Companion to the Philosophy of EducationBlindsight & The Nature of ConsciousnessBlues - Philosophy for EveryoneBlushBob Dylan and PhilosophyBody ConsciousnessBody Image And Body SchemaBody ImagesBody LanguageBody MattersBody WorkBody-Subjects and Disordered MindsBoundBoundaries of the MindBoyleBrain Evolution and CognitionBrain FictionBrain, Mind, and Human Behavior in Contemporary Cognitive ScienceBrain-WiseBrainchildrenBrains, Buddhas, and BelievingBrainstormingBrave New WorldsBreakdown of WillBrief Child Therapy Homework PlannerBrief Inquiry into the Meaning of Sin and FaithBrief Therapy Homework PlannerBritain on the CouchBrute RationalityBuffy the Vampire Slayer and PhilosophyBut Is It Art?Camus and SartreCartesian LinguisticsCartographies of the MindCarving Nature at Its JointsCase Studies in Biomedical Research EthicsCassandra's DaughterCato's TearsCausation and CounterfactualsCauses, Laws, and Free WillChanging Conceptions of the Child from the Renaissance to Post-ModernityChanging the SubjectChaosophyCharacter and Moral Psychology Character as Moral FictionCharles DarwinCherishmentChildhood and the Philosophy of EducationChildrenChildren, Families, and Health Care Decision MakingChoices and ConflictChoosing Not to ChooseChristmas - Philosophy for EveryoneCinema, Philosophy, BergmanCinematic MythmakingCity and Soul in Plato's RepublicClassifying MadnessClear and Queer ThinkingClinical EthicsClinical Psychiatry in Imperial GermanyCodependent ForevermoreCoffee - Philosophy for EveryoneCognition and the BrainCognition of Value in Aristotle's EthicsCognition Through Understanding: Self-Knowledge, Interlocution, Reasoning, ReflectionCognitive BiologyCognitive FictionsCognitive Neuroscience of EmotionCognitive Systems and the Extended MindCognitive Systems and the Extended Mind Cognitive Theories of Mental IllnessCoherence in Thought and ActionCollected Papers, Volume 1Collected Papers, Volume 2College SexComedy IncarnateCommitmentCommunicative Action and Rational ChoiceCompetence, Condemnation, and CommitmentConcealment And ExposureConceptual Analysis and Philosophical NaturalismConceptual Art and PaintingConceptual Issues in Evolutionary BiologyConfessionsConfucianismConnected, or What It Means to Live in the Network SocietyConquest of AbundanceConscience and ConvenienceConsciousnessConsciousnessConsciousnessConsciousness ConsciousnessConsciousness and Its Place in NatureConsciousness and LanguageConsciousness and Mental LifeConsciousness and MindConsciousness and the NovelConsciousness and the SelfConsciousness EmergingConsciousness EvolvingConsciousness ExplainedConsciousness in ActionConsciousness RecoveredConsciousness RevisitedConsciousness, Color, and ContentConsole and ClassifyConstructing the WorldConstructive AnalysisContemporary Debates In Applied EthicsContemporary Debates in Moral TheoryContemporary Debates in Philosophy of BiologyContemporary Debates in Philosophy of MindContemporary Debates in Political PhilosophyContemporary Debates in Social PhilosophyContemporary Perspectives on Natural LawContested Knowledge: Social Theory TodayContesting PsychiatryContext and the AttitudesContinental Philosophy of ScienceControlControlling Our DestiniesConversations About Psychology and Sexual OrientationCopernicus, Darwin and FreudCrazy for YouCreating a Life of Meaning and CompassionCreating ConsilienceCreating HysteriaCreating Mental IllnessCreating Scientific ConceptsCreating the American JunkieCreation, Rationality and AutonomyCreatures Like Us?Crime and CulpabilityCrime, Punishment, and Mental IllnessCrimes of ReasonCritical New Perspectives on Attention Deficit/Hyperactivity DisorderCritical PsychiatryCritical PsychologyCritical ResistanceCritical Thinking About PsychologyCritical VisionsCross and KhoraCruel CompassionCTRL [SPACE]Cultural Psychology of the SelfCultural Theory: An IntroductionCulture and Psychiatric DiagnosisCulture and Subjective Well-BeingCulture of DeathCultures of NeurastheniaCurious EmotionsCurrent Controversies in Experimental PhilosophyCustom and Reason in HumeCustomers and Patrons of the Mad-TradeCutting God in Half - And Putting the Pieces Together AgainCylons in AmericaDamaged IdentitiesDamasio's Error and Descartes' TruthDangerous EmotionsDaniel DennettDaniel DennettDark AgesDarwin and DesignDarwin's Dangerous IdeaDarwin's LegacyDarwin, God and the Meaning of LifeDarwinian PsychiatryDarwinian ReductionismDarwinizing CultureDating: Philosophy for EveryoneDeathDeathDeath and CharacterDeath and CompassionDeath and the AfterlifeDebating DesignDebating HumanismDecision Making, Personhood and DementiaDecomposing the WillDeconstructing PsychotherapyDeconstruction and DemocracyDeeper Than DarwinDeeper than ReasonDefending Science - within ReasonDefining Psychopathology in the 21st CenturyDegrees of BeliefDelusion and Self-DeceptionDelusions and Other Irrational BeliefsDelusions and the Madness of the MassesDementiaDemons, Dreamers, and MadmenDennett and Ricoeur on the Narrative SelfDennett’s PhilosophyDepression Is a ChoiceDepression, Emotion and the SelfDepthDerrida, Deleuze, PsychoanalysisDescartesDescartes and the Passionate MindDescartes' CogitoDescartes's Changing MindDescartes's Concept of MindDescribing Inner Experience?Descriptions and PrescriptionsDesembodied Spirits and Deanimated Bodies Desert Islands and Other Texts (1953-1974)Desire and AffectDesire, Practical Reason, and the GoodDiagnosing the Diagnostic and Statistical Manual of Mental DisordersDialectics of the SelfDid My Neurons Make Me Do It?Difference and IdentityDigital SoulDimensional Models of Personality DisordersDisability, Difference, DiscriminationDisjunctivismDisorders of VolitionDisorientation and Moral LifeDispatches from the Freud WarsDisrupted LivesDistractionDisturbed ConsciousnessDivided Minds and Successive SelvesDo Apes Read Minds?Do Fish Feel Pain?Do We Still Need Doctors?Does Consciousness Cause Behavior?Does the Woman Exist?Doing without ConceptsDon't Believe Everything You ThinkDonald DavidsonDonald Davidson on Truth, Meaning, and the MentalDoubting Darwin?Dreaming and Other Involuntary MentationDSM-IV SourcebookDSM-IV SourcebookDSM-IV-TR CasebookDworkin and His CriticsDying to KnowDynamics in ActionDysthymia and the Spectrum of Chronic DepressionsEccentricsEducational MetamorphosesEffective IntentionsElbow Room: The Varieties of Free Will Worth WantingEmbodied Minds in ActionEmbodied RhetoricsEmbodied Selves and Divided MindsEmbryos under the MicroscopeEmergencies in Mental Health PracticeEmerging Conceptual, Ethical and Policy Issues in BionanotechnologyEmotionEmotion and ConsciousnessEmotion and PsycheEmotion ExperienceEmotion RegulationEmotion, Evolution, And RationalityEmotional IntelligenceEmotional ReasonEmotional ReasonEmotional TruthEmotions in Humans and ArtifactsEmotions in the Moral LifeEmotions in the Moral LifeEmpathyEmpathy and AgencyEmpathy and Moral DevelopmentEmpathy and MoralityEmpathy in the Context of PhilosophyEmpirical Ethics in PsychiatryEnchanted LoomsEngaging BuddhismEngineering the Human GermlineEnjoymentEnvyEpicureanismEpistemic LuckEpistemologyEpistemology and EmotionsEpistemology and the Psychology of Human JudgmentEros and the GoodErotic MoralityEssays in Social NeuroscienceEssays in the Metaphysics of Mind Essays on Derek Parfit's On What MattersEssays on Free Will and Moral ResponsibilityEssays on Nonconceptual ContentEssays on Philosophical CounselingEssays on Reference, Language, and MindEssays on the Concept of Mind in Early-Modern PhilosophyEssential Sources in the Scientific Study of ConsciousnessEsssential Philosophy of PsychiatryEternal Sunshine of the Spotless MindEthical Conflicts in PsychologyEthical Issues in Forensic Mental Health ResearchEthical Issues in Human CloningEthical TheoryEthicsEthicsEthics and the A PrioriEthics and the Metaphysics of MedicineEthics and Values in PsychotherapyEthics Done RightEthics ExpertiseEthics in Plain EnglishEthics in PracticeEthics in Psychiatric ResearchEthics of PsychiatryEthics without OntologyEuropean Review of Philosophy. Vol. 5Everyday IrrationalityEvil in Modern ThoughtEvolutionEvolution and the Human MindEvolution's RainbowEvolutionary Origins of MoralityEvolutionary PsychologyExamined LifeExamined LivesExistential AmericaExistentialismExistentialism and Romantic LoveExperimental PhilosophyExperimental PhilosophyExperimental PhilosophyExperimental Philosophy, Rationalism, and NaturalismExperiments in EthicsExplaining ConsciousnessExplaining the BrainExplaining the Computational MindExplanatory PluralismExploding the Gene MythExploring HappinessExploring the SelfExpression and the InnerExpressions of JudgmentFaces of IntentionFact and ValueFact and Value in EmotionFacts, Values, and NormsFads and Fallacies in the Social SciencesFaith and Wisdom in ScienceFatherhoodFear of KnowledgeFearless SpeechFeeling Pain and Being in PainFeelings and EmotionsFeelings of BeingFellow-Feeling and the Moral LifeFeminism and Its DiscontentsFeminism and Philosophy of ScienceFeminist Ethics and Social and Political PhilosophyFeminist Interpretations of Rene DescartesFeminist TheoryField Notes from ElsewhereFinding Consciousness in the BrainFingerprints of GodFlesh in the Age of ReasonFolk Psychological NarrativesFolk Psychology Re-AssessedForces of HabitForgivenessForgiveness and LoveForgiveness and RetributionFoucault 2.0Foucault and PhilosophyFoucault NowFoucault, Psychology and the Analytics of PowerFoundational Issues in Human Brain MappingFoundations of Ethical Practice, Research, and Teaching in PsychologyFour Views on Free WillFree WillFree WillFree WillFree WillFree Will and Action ExplanationFree Will and LuckFree Will And Moral ResponsibilityFree Will as an Open Scientific ProblemFree Will, Agency, and Meaning in LifeFree: Why Science Hasn't Disproved Free WillFreedomFreedom and DeterminismFreedom And NeurobiologyFreedom and ResponsibiltyFreedom and ValueFreedom EvolvesFreedom RegainedFreedom vs. InterventionFreedom, Fame, Lying, and BetrayalFreudFreud and the Question of PseudoscienceFreud As PhilosopherFreud's AnswerFreud, the Reluctant PhilosopherFriedrich NietzscheFrom Chance to ChoiceFrom Clinic to ClassroomFrom Complexity to LifeFrom Enlightenment to ReceptivityFrom Knowledge to Wisdom: A Revolution for Science and the HumanitiesFrom Morality to Mental HealthFrom Passions to EmotionsFrom Philosophy to PsychotherapyFrontiers of ConsciousnessFrontiers of JusticeFurnishing the MindGalileo in PittsburghGenderGender and Mental HealthGender in the MirrorGender TroubleGenesGenes, Women, EqualityGenetic Nature/CultureGenetic ProspectsGenetic ProspectsGenetic SecretsGenocide's AftermathGenomes and What to Make of ThemGerman Idealism and the JewGerman PhilosophyGetting HookedGilles DeleuzeGlobal PhilosophyGluttonyGod and Phenomenal ConsciousnessGoffman's LegacyGoing Amiss in Experimental ResearchGoodness & AdviceGrassroots SpiritualityGrave MattersGrave MattersGreedGreek Models of Mind and SelfGut ReactionsHabilitation, Health, and AgencyHabits of MindHallucinationHandbook of BioethicsHandbook of EmotionsHappinessHappinessHappinessHappinessHappiness and EducationHappiness and the Good LifeHappiness Is OverratedHappiness, Death, and the Remainder of LifeHard LuckHarmful ThoughtsHaving the World in ViewHealing PsychiatryHealing the Soul in the Age of the BrainHealth, Illness and DiseaseHealth, Science, and Ordinary LanguageHegelHeidegger and a Metaphysics of FeelingHeidegger, Metaphysics and the Univocity of BeingHermann von Helmholtz's MechanismHermeneutics As PoliticsHeterophobiaHeterosyncraciesHeuristics and BiasesHeuristics and the LawHidden ResourcesHidden SelvesHiding from HumanityHigh Art LiteHistorical OntologyHistory of Psychiatry and Medical PsychologyHistory, Historicity And ScienceHobbesHomosexualitiesHope and Dread in PsychoanalysisHot ThoughtHow Can I Be Trusted?How Can the Human Mind Occur in the Physical Universe?How Children Learn the Meanings of WordsHow Could Conscious Experiences Affect Brains?How Do We Know Who We Are?How Emotions WorkHow Emotions WorkHow History Made the MindHow Images ThinkHow is Nature Possible?How Propaganda WorksHow Science WorksHow Scientific Practices MatterHow Scientists Explain DiseaseHow The Body Shapes The MindHow the Body Shapes the Way We ThinkHow the Mind Explains BehaviorHow the Mind Uses the BrainHow to Make Opportunity EqualHow to Solve the Mind-Body Problemhow to stop timeHow to Think More About SexHow We HopeHow We ReasonHuman CloningHuman Development, Language and the Future of MankindHuman EnhancementHuman Evolution, Reproduction, and MoralityHuman GoodnessHuman Identity and BioethicsHuman NatureHuman NatureHuman Nature and the Limits of ScienceHuman-Built WorldHumanismHumanism, What's That?HumanityHumans, Animals, MachinesHumeHumeHume on Motivation and VirtueHusserlHystoriesI of the VortexI Was WrongIdeas that MatterIdentifying the MindIdentity and Agency in Cultural WorldsIgnorance and ImaginationIllnessImagination and Its PathologiesImagination and the Meaningful BrainImagining NumbersImmortal RemainsImproving Nature?In Defense of an Evolutionary Concept of HealthIn Defense of SentimentalityIn Love With LifeIn Praise of Athletic BeautyIn Praise of the WhipIn Pursuit of HappinessIn Search of HappinessIn the Name of GodIn the Name of IdentityIn the Space of ReasonsIn Two MindsIncompatibilism's AllureIndividual Differences in Conscious ExperienceInfinity and PerspectiveInformation ArtsInformed Consent in Medical ResearchIngmar Bergman, Cinematic PhilosopherInhuman ThoughtsInner PresenceInsanityIntegrating Psychotherapy and PharmacotherapyIntegrity and the Fragile SelfIntelligent VirtueIntentionIntentionality, Deliberation and AutonomyIntentions and IntentionalityIntentions and IntentionalityInterpreting MindsInterpreting NietzscheIntroducing Greek PhilosophyIntrospection and ConsciousnessIntrospection VindicatedIntuition, Imagination, and Philosophical MethodologyIntuitionismInvestigating the Psychological WorldIrrationalityIrrationalityIs Academic Feminism Dead?Is It Me or My Meds?Is Long-Term Therapy Unethical?Is Oedipus Online?Is Science Neurotic?Is Science Value Free?Is the Visual World a Grand Illusion?Is There a Duty to Die?Issues in Philosophical CounselingJacques LacanJacques RancièreJacques RanciereJean-Paul SartreJohn McDowellJohn SearleJohn Searle's Ideas About Social RealityJohn Stuart MillJohn Stuart Mill and the Writing of CharacterJoint AttentionJokesJonathan EdwardsJudging and UnderstandingJustice for ChildrenJustice in RobesJustice, Luck, and KnowledgeKantKant and MiltonKant and the Fate of AutonomyKant and the Limits of AutonomyKant and the Role of Pleasure in Moral ActionKant on Freedom, Law, and HappinessKant on Moral AutonomyKant's Anatomy of EvilKant's Anatomy of the Intelligent MindKant's Theory of VirtueKarl JaspersKarl PopperKey Concepts in PhilosophyKierkegaardKierkegaard as PhenomenologistKierkegaard's Concept of DespairKinds of MindsKinds, Things, and StuffKnowing, Knowledge and BeliefsKnowledge MonopoliesKnowledge, Belief, and CharacterKnowledge, Possibility, and ConsciousnessLacanLack of CharacterLack of CharacterLanguageLanguage in ContextLanguage, Consciousness, CultureLanguage, Culture, and MindLanguage, Vision, and MusicLaw and the BrainLaw, Liberty, and PsychiatryLaws, Mind, and Free WillLeaving YouLectures on the History of Political PhilosophyLevelling the Playing FieldLiberal Education in a Knowledge SocietyLiberatory PsychiatryLife and ActionLife at the Texas State Lunatic Asylum, 1857-1997Life Is Not a Game of PerfectLife of the MindLife's FormLife, Death, & MeaningLife, Death, and Meaning: Key Philosophical Readings on the Big Questions Life, Liberty, and the Pursuit of UtilityLife, Sex, and IdeasLight in the Dark RoomLike a Splinter in Your MindLiving and Dying WellLiving NarrativeLiving Outside Mental IllnessLiving with DarwinLiving With One’s PastLockeLocke LockeLogic and the Art of Memory Loneliness in Philosophy, Psychology, and LiteratureLooking for SpinozaLooking for The StrangerLost SoulsLOT 2LoveLoveLove's ConfusionsLove's VisionLove, Friendship, and the SelfLove, Sex & TragedyLuckyLudwig WittgensteinLustLyingMachine ConsciousnessMad for FoucaultMad TravelersMade with WordsMadness And Death In PhilosophyMadness and DemocracyMadness at HomeMadness Is CivilizationMaking Natural KnowledgeMaking Sense of EvolutionMaking Sense of Freedom and ResponsibilityMaking the DSM-5Making the Social WorldMaking TruthMale Female EmailMan, Beast, and ZombieMandated Reporting of Suspected Child AbuseManiaManic Depression and CreativityMapping the Edges and the In-betweenMapping the Future of BiologyMarcus AureliusMaster PassionsMatters of the MindMe++Meaning and Moral OrderMeaning and Value in a Secular AgeMeaning in LifeMeaning in Life and Why It MattersMeaning, Basic Self-Knowledge, and MindMeasuring HappinessMeasuring PsychopathologyMedia MadnessMedical Enhancement and PosthumanityMedicine and Philosophy in Classical AntiquityMedicine of the PersonMedicine, Mental Health, Religion, Science and Well-BeingMelancholy And the Care of the SoulMelancholy and the Otherness of GodMementoMemory and NarrativeMental ActionsMental CausationMental Causation and OntologyMental HealthMental Health At The CrossroadsMental Health Policy in BritainMerit, Meaning, and Human BondageMerleau-PontyMerleau-Ponty and the Possibilities of PhilosophyMetacognition and Theory of MindMetacreationMetaethical SubjectivismMetaethicsMetal and FleshMetaphors of MemoryMetapoliticsMethods in MindMichel FoucaultMill's UtilitarianismMindMindMind and ConsciousnessMind and CosmosMind and MechanismMind GamesMind in a Physical WorldMind in Everyday Life and Cognitive ScienceMind in LifeMind TimeMind's LandscapeMind, Brain and the Elusive SoulMind, Brain, and Free WillMind, Reason and ImaginationMinding MindsMindreadersMindreading AnimalsMinds and PersonsMinds, Brains, and LawMinds, Ethics, and ConditionalsMindshapingMindsightMindworldsMirror, MirrorMixed FeelingsMockingbird YearsModels of the SelfModern Social ImaginariesModern Theories of JusticeModernity and SubjectivityModernity and TechnologyMoody Minds DistemperedMoral DimensionsMoral FailureMoral ImaginationMoral LiteracyMoral MachinesMoral ParticularismMoral PsychologyMoral Psychology and Human AgencyMoral Psychology, Volume 1Moral Psychology, Volume 2Moral Psychology, Volume 3Moral Psychology: Volume IVMoral RepairMoral Responsibility and Alternative PossibilitiesMoral TribesMoral Value and Human DiversityMorality and Self-InterestMorality in a Natural WorldMorality, Moral Luck and ResponsibilityMotherhoodMotive and RightnessMoving Beyond Prozac, DSM, and the New PsychiatryMultiple Analogies in Science and PhilosophyMultiple Identities & False MemoriesMusic, Madness, and the Unworking of LanguageMy Brain Made Me Do ItMy Double UnveiledMy WayNarrativeNarrative and IdentityNarrative MedicineNarrative PsychiatryNarrative Theory and the Cognitive SciencesNatural Ethical FactsNatural Kinds and Conceptual ChangeNatural MindsNatural-Born CybogsNaturalism and the First-Person PerspectiveNaturalism and the Human ConditionNaturalism in the Philosophy of HealthNaturalism in the Philosophy of HealthNaturalized BioethicsNaturalizing the MindNatureNature and NarrativeNear Death ExperienceNeither Bad nor MadNeither Victim nor SurvivorNeuro-Philosophy and the Healthy MindNeuroethicsNeuroethicsNeurological Foundations of Cognitive Neuroscience Neurophilosophy at WorkNeurophilosophy of Free WillNeuropoliticsNeuropsychoanalysis in PracticeNeuroscience and PhilosophyNew Essays on the Explanation of ActionNew Philosophy for a New MediaNew Versions of VictimsNew Waves in Philosophy of ActionNietzscheNietzsche and Buddhist PhilosophyNietzsche on Ethics and PoliticsNietzsche's TherapyNietzsche, Culture and EducationNietzsche: The Man and His PhilosophyNihil UnboundNoir AnxietyNormative EthicsNormativityNorms of NatureNotebooks 1951-1959Notes Toward a Performative Theory of AssemblyNothing So AbsurdOblivionOn AnxietyOn ApologyOn Being AuthenticOn Being AuthenticOn BeliefOn BullshitOn DelusionOn DesireOn EmotionsOn HashishOn Human RightsOn Loving Our EnemiesOn Nature and LanguageOn PersonalityOn ReflectionOn Romantic LoveOn the EmotionsOn the Freud WatchOn the Government of the LivingOn the Human ConditionOn the InternetOn the Meaning of LifeOn the Philosophy of LawOn the Pragmatics of CommunicationOn the Punitive SocietyOn TruthOn Virtue EthicsOn What MattersOn What We Owe to Each OtherOne Hundred DaysOnflowOnly a Promise of HappinessOntology of ConsciousnessOpen MindedOpen Your EyesOrgans without BodiesOther MindsOur Last Great IllusionOur Own MindsOur Posthuman FutureOur StoriesOut of Its MindOut of Our HeadsOxford Guide to the MindOxford Handbook of Psychiatric EthicsOxford Textbook of Philosophy of PsychiatryPanic DisorderPanpsychism in the WestPartialityPassionate EnginesPassionate EnginesPathologies of BeliefPathologies of ReasonPatient Autonomy and the Ethics of ResponsibilityPC, M.D.Perceiving the WorldPerception & CognitionPerception and Basic BeliefsPerception, Hallucination, and IllusionPerceptual ExperiencePerfecting VirtuePerplexities of ConsciousnessPersistencePersonal AutonomyPersonal Autonomy in SocietyPersonal IdentityPersonal Identity and EthicsPersonal Identity and Fractured SelvesPersonhood and Health CarePersonsPersons and BodiesPersons, Humanity, and the Definition of DeathPersons, Souls and DeathPerspectives on ImitationPerspectives on PragmatismPessimismPhenomenal Concepts and Phenomenal KnowledgePhenomenal ConsciousnessPhenomenal IntentionalityPhenomenology and ExistentialismPhenomenology and Philosophy of MindPhilosophersPhilosophers on MusicPhilosophers without GodsPhilosophical CounselingPhilosophical Counselling and the UnconsciousPhilosophical DevicesPhilosophical Foundations of 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LiteraturePhilosophy of ActionPhilosophy of ActionPhilosophy of BiologyPhilosophy of BiologyPhilosophy of BiologyPhilosophy of BiologyPhilosophy of BodyPhilosophy of Film and Motion PicturesPhilosophy of LovePhilosophy of Love, Sex, and MarriagePhilosophy of MindPhilosophy of Mind and CognitionPhilosophy of Personal Identity and Multiple PersonalityPhilosophy of PsychologyPhilosophy of Public HealthPhilosophy of SciencePhilosophy of SciencePhilosophy of Technology: The Technological ConditionPhilosophy of the Social SciencesPhilosophy on TapPhilosophy PracticePhilosophy the Day after TomorrowPhilosophy's Role in Counseling and PsychotherapyPhilosophy, Neuroscience and ConsciousnessPhilosophy, Politics, DemocracyPhotography and PhilosophyPhysical RealizationPhysicalism and Its DiscontentsPhysicalism and Mental CausationPhysicalism, or Something Near EnoughPhysician-Assisted DyingPillar of SaltPin-up GrrrlsPlatoPlatoPlato, Not Prozac!Platonic Ethics, Old and NewPluralistic CasuistryPolarities of ExperiencesPolitical EmotionsPopper, Objectivity and the Growth of KnowledgePornPorn StudiesPornography, Sex, and FeminismPortrait of the Psychiatrist as a Young ManPostcolonial DisordersPostpsychiatryPosttraumatic Stress DisorderPower and the SelfPower SplitPractical Autonomy and BioethicsPractical ConflictsPractical Identity and Narrative AgencyPractical PhilosophyPractical RulesPractical Tortoise RaisingPractically ProfoundPracticing Feminist Ethics in PsychologyPragmatic BioethicsPragmatismPragmatism, Old And NewPraise and BlamePredicative MindsPreferences and Well-BeingPrescriptions for the MindPresocraticsPrimary and Secondary QualitiesPrimates and PhilosophersPrivacyPrivileged AccessProblems in MindProblems of RationalityProzac As a Way of LifeProzac BacklashProzac on the CouchPsyche and SomaPsychiatric Aspects of Justification, Excuse and Mitigation in Anglo-American Criminal Law Psychiatric Cultures ComparedPsychiatric Diagnosis and 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ExternalismRadical HopeRational and Social AgencyRational CausationRational Choice in an Uncertain WorldRationality + Consciousness = Free WillRationality and FreedomRationality and the Reflective MindRationality in ActionRawls, Dewey, and ConstructivismRe-creating MedicineRe-EmergenceRe-Engineering Philosophy for Limited BeingsReading AutobiographyReading Bernard WilliamsReading SartreReadings in the Philosophy of TechnologyReal MaterialismReal Natures and Familiar ObjectsReal ScienceRealism in ActionReason & EmancipationReason in ActionReason in PhilosophyReason's GriefReasonably ViciousReasoning About Rational AgentsReasoning in Biological DiscoveriesReasons from WithinReasons without RationalismReclaiming CognitionReclaiming the SoulReconceiving SchizophreniaReconstructing Reason and RepresentationReconstructing the Cognitive WorldRecreative MindsRediscovering EmotionRediscovering EmpathyReference and ExistenceReference and the Rational MindReflections On How We LiveReframing Disease ContextuallyRefusing CareRegulating SexReinventing the SoulRelativism and Human RightsRelativism and the Foundations of PhilosophyRelativism and the Foundations of PhilosophyReliable ReasoningReligion without GodRelying on OthersRemembering HomeResponsibility and PunishmentResponsibility and PunishmentResponsibility from the MarginsRestraining RageRethinking ExpertiseRethinking IntrospectionRethinking Mental Health and DisorderRethinking RapeRethinking the DSMRethinking the Sociology of Mental HealthRethinking the Western Understanding of the SelfReturn to ReasonRevolt, She SaidRichard RortyRichard RortyRichard RortyRichard RortyRichard RortyRichard Rorty's New PragmatismRightsRights, Democracy, and Fulfillment in the Era of Identity PoliticsRise And Fall of Soul And SelfRitalin NationRobert NozickRousseauRousseau and the Dilemmas of Modernity Routledge Philosophy Guidebook to Derrida on DeconstructionRules, Reason, and Self-KnowledgeSaints, Scholars, and Schizophrenics: Mental 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In a photo taken in 1856, the painter Richard Dadd is shown with the tools of his trade, as it was customary in early portrait photography. He looks to the left of the camera, his brush still touching the canvas which will become Contradiction: Oberon and Titania. If he seems absentmindedly locked on some ever-receding target, this is perhaps due to the prolonged time needed for exposure, or to the washed-out quality of the surviving image. There is also the uncustomary setting of this photo. It is one of a series Henry Hering took of psychiatric patients, in an attempt to characterize the physiognomy of madness. Dadd had been an inmate of Bethlem Hospital, the original Bedlam, since 1844. Before his asylum career, his art had been unexceptional, and he showed an interest in the Orient (this was not unusual in the era, either). But Dadd left the ordinary behind when he returned from an expedition in Egypt convinced he had a special connection with the god Osiris. Back in Britain, he killed his father, in whom he saw the devil. Therefore Bethlem. He continued to paint, but he was a changed man and his art was also transformed. Formerly conformist, it now acquired a stranger, darker nature. Writing about Dadd's masterpiece, The Fairy Feller's Master-Stroke, Neil Gaiman explains his fascination thus:
"Before Dadd's madness (…) his paintings are quite pretty, and perfectly ordinary (…). Nothing special or magical about them. Nothing that would make them last. Nothing true. (…) Dadd spent the rest of his life behind bars, surrounded by the criminally insane, and as criminally insane as any of them, but with a message for us from, as it were, the other side."
This certainly sounds right, but how would one know, faced with the intensity and evocative beauty of Dadd's latter art, if one located its authentic message, if one absorbed its truth and not a simulacrum of one's own making? The question seems inescapable. If this is something one cannot know, then one should not continue to think that one is faced here with a task (or even a duty) of understanding. What is at work in such cases is not the common difficulty of interpreting art, but a more stringent worry about locating meaning in madness. On the one hand, we would not want to underestimate the opacity of a mind like Dadd's and misconstrue it as a mere veil which can be penetrated ("other side") by translating and restoring meaning to the apparent noise and rubble. On the other, we would want a convincing defense to the rejoinder that there will not be much left in terms of explaining madness if we gave up the idea of understanding it by recognizing the significance of symptoms.
It has been a foundational difficulty of theories of abnormal psychology to account for the bizarreness of paradigmatic psychosis, and there have been many frustrated attempts to convert the alien quality of delusions and hallucinations into something theoretically and clinically manageable. The Measure of Madness, the last book by Philip Gerrans, presents an unambiguous answer to the explanatory dimension of this challenge. Gerrans argues that by now the relevant disciplines – psychiatry, neuroscience, cognitive psychology – have the sketch of a theory which can explain delusion. This theory will deflate the explanatory crisis exemplified above by Dadd's case. It will not be purely biological, rendering the psychotic mind, as it were, silent, but neither will it depend on notions like belief or rationality which invite interpretive speculation (it will not be a "doxastic" theory). Rather, the explanation will combine multiple levels of description, from the biochemical to the behavioral, with a focus on the cognitive characterization of the processes which lead to delusion, and on the mechanisms which support said processes. That is to say that even if this will not be a doxastic theory – i.e. one which tries to assimilate delusions to exotic beliefs – it will be a functional theory, one which accounts for delusion by asking what the relevant mental processes are typically for.
The first part of the book presents the background against which Gerrans builds his argument, and then assembles systematically the elements of his proposal. The main idea is that generally the source of delusional ideation is a breakdown in an information processing system which works hierarchically. Delusions are a kind of unsupervised thoughts, more precisely what Gerrrans calls "default thoughts". The first four chapters of the book gradually introduce and explain what "default thought" is and why it can be derailed in the form of delusion. Alternative accounts are considered and rejected. The remaining six chapters develop the explanatory machinery by tackling specific problems and extending the discussion of the literature. Among the topics Gerrans deals with, some are predictable, such as the relation between dreams and delusion, and typical delusional syndromes, other perhaps less so, such as the first person experience of delusion.
Those who are familiar with the philosophical inclinations and prose of contemporary Australian authors such as Paul Griffiths and Kim Sterelny will recognize that Gerrans's book fits in the same niche in terms of style. It is economical, at points deliberately subdued, thoroughly informed by the relevant science, unapologetic about jargon, and thematically opportunistic. The fact that the ideal here is no-nonsense clarity does not stop Gerrans from engaging with topics ranging from neuroscience to asylum psychiatry, and with authors as diverse as Hume (on the limits of empathy) or Louis Sass (on the phenomenology of delusion). For the uninitiated readership, following all these incursions and keeping track of the terminology may be difficult.
Gerrans has written before on the topic of delusion, especially circumscribed psychoses like the Cotard and Capgras syndromes. The argument presented here is however quite novel and certainly more ambitious than what he has done previously. The true measure of madness, Gerrans argues, will not be found if one expects to discover it in either of the two domains psychiatric theorizing has historically oscillated between. Two "autonomist" theses are to be rejected: first, that delusion is a phenomenon to be conceived at the personal level, as deviant (inferentially failed) belief; second, that delusion is to be left entirely to neuroscience, as some sort of brain tissue quirk. The relevant level is information processing, a midland which can accommodate both data from neuroscience and reports of symptoms. Once this lens is in place, one can track delusion down to its neural roots or up to its experiential outcome.
While this prologue is typical of cognitive theories, the case presented in The Measure of Madness is of considerable subtlety. In rejecting autonomist theories, for example, Gerrans suggests a lucid qualification of Jaspers's verdict that serious delusion is opaque, therefore not a candidate for functional explanation. Delusions are not noise. The usual repertoire of normative concepts (belief, rationality) may not be helpful in such cases, but Gerrans insists that the very fact that we are in a position to judge delusions bizarre alludes to words being used in more or less the usual way in patients' reports. Moreover, one should not dismiss easily the idea that delusions are responses to experience – a parallel to empirical beliefs being typically responses to perception. This positioning gives some footing for considering delusions cognitive in nature, but it reintroduces the usual difficulty of dealing with delusional content. The latter problem, the books seems to argue, will dissolve once the mechanisms which produce delusions are understood.
Gerrans proposes a guiding definition of delusion that is designed to avoid the complications of normative discourse and which should eventually result in a testable model. This is the definition: "Delusions arise when default cognitive processing, unsupervised by decontextualized processing, is monopolized by hypersalient information." (p. 38). Each of the three components is explained by identifying its typical role in the processing hierarchy. Neural implementation and phenomenology are also used as evidence.
Default cognitive processing is explained as a low level associative process evolved to support planning by simulating and rehearsing scenarios ("mental time travel") in the absence of external stimulation. This kind of processing is implemented by the so-called "default mode network". Especially when idling ("screensaver mode" – p.67), this system produces default thoughts which are not circumscribed by the norms of inference, consistency, and empirical adequacy of paradigmatic conscious thought. The mind wanders. There is however at least some degree of narrative structure and – a problematic notion – subjective adequacy in the default stream. Stories or narrative filaments are connected to the personal history, needs, or experiences of the subject. They "fit with the agent's psychology" (p. 75). Dreams are the obvious proxy.
The default mode network is a story teller with a weakness for the audience's preferences. It is not trustworthy, and as such it needs supervision and scrutiny. In cognitive scientific talk, default processing is held in check by decontextualized processing, which is a superior level of the system, and which tries to align the mind with what happens to be the case (executive control). Autobiographical coherence gives way to objectivity and rationality, and competing narratives are tested empirically and inferentially, since the real world, unlike imaginary scenarios, can have nasty consequences. In neuroscientific talk, there is a division of labor and of power between older regions of the brain and newer (dorsolateral) regions. As exemplified by the familiar case of dreams, the balance of power can and does fluctuate.
At all levels in the processing hierarchy resources are limited, so budgeting needs some prioritizing. Salience systems mark some tasks or bits of information as urgent, other as less so. Most of this happens below the threshold of consciousness (you will not need much deliberation to orient yourself to that startling noise), but salience can be experienced at its upper limit as "cognitively depleting directed attention and concentration" (p. 45).
With this minimal sketch in place, one can begin to see how Gerrans's model works. In delusion, as in dreams, default processing is more or less left to its own devices. Unlike in dreams, decontextualized supervision fails in the waking state. Moreover, salience is derailed and the result is a "spectacular misallocation of cognitive resources" (p. 40). Since some information, for example perceptual anomalies, is marked as salient, the default system will be oriented to those anomalies and it will flood the mind with narratives that try to tame them by weaving "subjectively adequate" stories.
This account obviously raises a number of questions, and Gerrans answers some of them convincingly. For example, he points out that, as in dreams, at least in some delusions of misidentification there is evidence that the neural regions (probably) supporting decontextualized processing – areas in the dorsolateral prefrontal cortex – are hypoactive (p. 109). That should mitigate to some extent the question of there being proof of a failure of higher information processing or gating. Another prominent question is how salience systems are hijacked and how they impact, at their turn, default processing. This question returns us to the issue of delusional content.
Why should delusions be about what they are? Why, for example, should paranoid delusions involve ominous conspiratorial themes? In Gerrans's terms, what kind of information becomes (abnormally) salient so that such default thoughts are the output of default processing? The book is, I think, at its best, but also at its most fragile, in trying to solve this problem. Gerrans is aware that he does not have – not yet at least – a general solution. (Perhaps one is not even in the cards.) The account presented in Measure is tributary to Gerrans's previous work on specific delusional syndromes such as Capgras, where the patient is confused about the identity of a familiar person, Fregoli, where the patient attributes the identity of a familiar person to a stranger, or Cotard, where the patient typically claims she is dead.
There seems to be a near consensus about Capgras, to take this example, that at least one of the causes is perceptual. Gerrans describes this as a failure of "binding". At some point in the processing of information about a seen face, multiple components are normally integrated. Among them, the visual features, perhaps stored elements, like the name, but also autonomic reactions that color seeing a familiar person with an emotional valence. In Capgras patients, it is suspected that the latter is lost. They recognize the face, but they do not experience the expected emotion. This dissociation somehow cascades into the delusion that the familiar person has been replaced by an impostor. It is relatively easy to see how that may fit in Gerrans's model: the salient information is the missing emotional response; this captures default processing and a narrative is produced to make sense of the experience; if this narrative is not filtered out by decontextualized processing, the person becomes delusional.
As Gerrans himself observes, locating candidates for salience does not by itself explain the content of delusions or their resistance to argument and evidence (e.g. "It seems clear that perceptual or recognitional systems alone cannot be responsible for the content of the thought." – p. 149). For example, delusions such as Capgras are rather "circumscribed and monothematic" (p. 154). This is to say that the patients do not seem to have serious difficulties in "decontextualizing" in general. Why they should be unable to evaluate and reject a relatively small set of ideas remains, speculation aside, mysterious. Even more so is the elaboration of the delusional narrative – in Capgras from a mere apathetic reaction to suspecting sinister happenings.
Gerrans follows the literature here and considers possible "second factors". Something other than a mere perceptual deficiency makes the patient maintain her bizarre convictions. To keep to the example of Capgras, one way to describe such a second factor is to refer to a putative tendency of the patient to prefer paranoid explanations. The tendency may be local, e.g. mood-dependent, or generalized ("attributional style"). Gerrans prefers to trace a second factor to the evolved role of the default system – i.e. to the fact that it is not designed to produce and test hypotheses (belief fixation), but to imagine scenarios. This, I think, does not evaporate the obvious difficulty of delusional stories being both strange and, like beliefs, sometimes acted upon. Gerrans does stress the second difficulty and tries to answer it by discussing how imagination can be "incorporated" into the practical reasoning of a subject.
The author is also aware that it is not trivial to project from one kind of delusion to the next. The discussion of how the default processing model might explain passivity of thought in schizophrenia (Chapter 8) is instructive in this respect. Some patients diagnosed with schizophrenia say that they experience thoughts which are not their own – they are not the authors of those thoughts and have little control over them. One much discussed idea in the field, often associated with suggestions made by Christopher Frith in the late 1980s and early 1990s, is to treat passivity of thought on a parallel with passivity of action. In the case of action, the theory has it that patients "monitor" poorly the behaviors they initiate, and therefore they have the tendency to attribute them to other agents. As a result, they may develop delusions of alien control. It is the "monitoring" – planning and overseeing action to avoid error – which makes one's actions one's own, and if that is lost, there will be free-floating intentions which will be experienced as external.
Whatever one may think of this theory, it works poorly for thought, since, unlike action, thoughts are not goal-directed, planned, and revised to match intended outcome. Gerrans notes these problems (p. 197), but, as others have done before, concentrates his treatment on the idea that some delusions of passivity may not be strictly of thought, but of inner speech or subvocalizations – i.e. of actions. This avoids the issue rather than solve it. The issue however might be a false one to begin with, inherited from the framework established by Frith, in which it is as if thoughts need to be labeled one's own or else they will be attributed externally.
The final section of the book focuses on the phenomenology of delusion. Gerrans uses a canonical case, that of Paul Schreber, whose autobiography has been somewhat of a fixation ever since Freud speculated on it more than a century ago. Gerrans reads Schreber via the writings of Louis Sass, which is an interesting touch, since the two authors are very different in style and inclinations. Sass's phenomenological analysis of Schreber suggests the need of a framework of understanding delusion which is detached from the familiar conceptual domain of belief and interpretation. In Madness and Modernism, for example, Sass has us see Schreber descending on a twisted spiral from Foucault's Discipline and Punish. Gerrans is less interested in Schreber as, in some sense, quintessentially modern, as in the description of his "lifeworld". In this Prussian's obsessive preoccupation with his own experience Gerrans sees an echo of what the default processing model suggests: a cancerous spread of unanchored autobiographical narrative.
The ambiguous, articulate, and benign Schreber, though a tragic character, may set an overoptimistic tone to the book's conclusion – and to this review. Gerrans has written a book which provides a glimpse of the state of the art, at least when it comes to what cognitive theories can throw at psychoses. It is also, to my knowledge, an original addition to this particular theoretical family. But the puzzle I started with, that which is better exemplified by Dadd than by Schreber, remains intact. Gerrans has given us even more reasons to suspect that the mad, while poorly equipped, are striving, like all of us, to make sense of their world and of themselves. The Measure of Madness, however, for all its merits, does not ultimately have a working theory of content for delusions. Given its presupposition that it can take seriously the experience of patients – its significance – without inviting in the normative notions involved in interpretation (essentially, that of belief), perhaps it could not have one.
© 2016 George Tudorie
George Tudorie is a teaching assistant, College of Communication and PR, Bucharest.