Mark Blagrove |
Dream of mother and daughter attacked on a Los Angeles freeway. Painting by Julia Lockheart, DreamsID.com |
Blog on delusions, memory distortions, confabulations, biases and irrational beliefs.
Mark Blagrove |
Dream of mother and daughter attacked on a Los Angeles freeway. Painting by Julia Lockheart, DreamsID.com |
Today's post is by Anne Meylan (University of Zurich) and Sebastian Schmidt (University of Zurich) on their recent paper, "Refusing the COVID-19 vaccine: What’s wrong with that?" (Philosophical Psychology, 2023). Anne is the director of the Zurich Epistemology Group on Rationality (ZEGRa) and Sebastian is a postdoc at ZEGRa.
Anne Meylan |
This article analyses the cognitive attitudes of people who refuse the COVID-19 vaccine. We argue that vaccine refusers are responsible for their belief that they should not get vaccinated and that they are rational (although mistaken) in holding this belief. We support this conclusion by building on recent philosophical theories of responsibility for belief and of the rationality of attitudes. Our conclusion has further implications for public health policy: there is a reason not to use non-argumentative means, such as mandatory vaccination or certain kinds of nudging, to make rational vaccine refusers comply with vaccination recommendations. Although this reason has significant weight, it is pro tanto and can be outweighed by the harm that is caused if a significant part of the population remains unvaccinated.
We rely on some empirical research that states the main motivations of people who refuse the COVID-19 vaccine: not being concerned about the virus because of one’s age, worries about the effectiveness of the vaccine, and distrust in epistemic authorities. This allows us to build a case of a ‘standard vaccine refuser’ who is representative of a large class of people who think that they should not be vaccinated. We describe a case of a relatively privileged individual. If we can show that this person is responsible and rational in her belief, then this allows us to conclude further that less privileged and more marginalized individuals are rational as well.
Sebastian Schmidt |
We argue first that the standard vaccine refuser is responsible for her belief, and thus in principle open to criticism or blame: her belief isn’t just delusional, but rather responsive to evidence or epistemic reasons to a sufficient degree. Part of our argument is that standard vaccine refusers are inquiring people who allow themselves to be swayed by new incoming evidence. They also behave differently towards the MMR vaccine (many of them are willing to take it).
We then consider the rationality of the standard vaccine refuser from the perspective of philosophical theories of rationality. We first point out that the attitudes of vaccine refusers aren’t obviously incoherent: they don’t contain an obvious contradiction and they aren’t conflicting with other beliefs about evidence. We then consider various objections and acknowledge that, although some of their implicit beliefs are likely contradictory or incoherent, these implicit beliefs don’t render vaccine refusers irrational in a sense of ‘irrational’ that implies legitimate criticism or blame.
Finally, we argue that vaccine refusers respond correctly to their evidence or epistemic reasons. This is because their distrust is often rational, especially when it comes to the experiences of marginalized groups with medical, scientific, and political authorities, and because our epistemic environment is polluted, for instance by fake experts and problems within our current scientific practices themselves.
Finally, we point out that, given an epistemic condition on responsibility, vaccine refusers seem to be often blameless: their action of refusal rests on rational belief. This has implications for public health policy: enforcing rational people to comply with what one takes to be morally right can endanger their autonomy.
This post is by Darryl Mathieson, doctoral researcher in Philosophy at the Australian National University. In this post, Darryl writes about thought insertion and self-experience in schizophrenia, which is the object of a paper recently published in Review of Philosophy and Psychology.
Darryl Mathieson |
The Scottish philosopher David Hume famously argued that when he introspected, he found various mental states like thoughts and perceptions, but no extra subject of experiences that we might call ‘the self’. Hume’s denial has commanded widespread philosophical agreement and has led to the thesis that the self is at best elusive, and at worst does not appear in experience at all.
However, a different path to self-experience that we might take is to look at what happens when consciousness breaks. Just as the deafening silence left in the wake of an air conditioner shutting off makes its constant hum more salient, so too certain experiences pervade everyday consciousness and appear elusive until we are presented with their loss or disruption. One such disorder that has been used to good effect in this regard is a symptom of schizophrenia called thought insertion—a condition in which people claim to experience the thoughts of others.
The standard explanation of thought insertion is that certain features of consciousness go missing while others remain intact, which typically involves an appeal to what is called the ‘sense of agency’ and ‘sense of subjectivity’. The sense of agency refers to an experience of being the active thinker of our thoughts. The sense of subjectivity refers to a pre-reflective experience of there being something it feels like for us to undergo or live through our changing experiences as their subject, which is also known as “for-me-ness”. The idea is that the sense of agency breaks down in thought insertion, while the sense of subjectivity remains wholly intact.
One big problem is that this explanation can’t differentiate thought insertion from other pathological (and ordinary) absences of agency. For example, people routinely experience intrusive or unbidden thoughts which they do not actively generate (if you want to test it, tell the next person who admits to suffering from anxious thoughts to “just stop worrying”). Motivated in part by taking the broader clinical and psychopathological context of schizophrenia into account, there is a growing trend toward explaining thought insertion as a disrupted for-me-ness, which gradually becomes so disturbed that patients no longer recognize some of their thoughts as their own.
So, what can all of this tell us about self-experience, and why does it matter? I think what is disturbed is only disturbing because it is not normally disturbed, which means that thought insertion can help us to gain some insight into our ordinary experience of ourselves, as well as help patients understand and navigate their severely disrupted experiences.
There is something right and wrong about Hume’s denial. He was right to conclude that the self cannot be found as an introspectable object of consciousness, but failed to recognize pre-reflective forms of self-experience that psychopathological cases make salient. By imagining what it would be like to undergo conditions like thought insertion which disrupt what is perhaps the most intimate aspect of our conscious lives, we can come to appreciate how we normally experience the self.
Janko Nešić |