Imperfect Cognitions

This post is by Dan Degerman, Leverhulme Early Career Research Fellow at the University of Bristol, soon to join the new project EPIC (Epistemic Injustice in Healthcare), funded by a Wellcome Discovery Award. (A version of this post appeared on the EPIC blog on 15th September 2023.) Some members of team EPIC: Matthew Broome, Ian Kidd, Dan Degerman, Havi Carel, Kathleen Murphy-Hollies, and Fred Cooper. Silence is an important phenomenon in mental health. But while philosophers have had much to say about the social silencing of people with psychiatric diagnoses, other ways in which silence can feature in psychopathology have been underexplored. In a recent workshop at the University of Bristol, generously funded by the Leverhulme Trust, we sought to begin to address this neglect by exploring the different faces of silence in psychopathology. Ian Kidd opened the workshop with a talk that explored painful silences common in bereavement grief. In particular, he focused on four silences, ea...

Today's post is by Ditte Marie Munch-Jurisic (University of Copenhagen). Ditte Marie Munch-Jurisic A wave of influential voices in philosophy and psychology have argued that negative affective states like stress, discomfort, and anxiety are not necessarily detrimental for mental health, but that they can, under certain conditions, take productive forms that may broaden our epistemic horizons (Kurth 2018; Applebaum 2017; Harbin 2016; Bailey 2017; Medina 2013; Lukianoff and Haidt 2018; Jamieson, Mendes, and Nock 2013) and even contribute to social mobility (Munch-Jurisic 2020a).  In my new article for the Synthese topical collection "Worry and Wellbeing: Understanding Anxiety", I identify one epistemic problem which has not been properly addressed by this new wave of research; to benefit from a surge of negative affect, agents need to be able to conceptualize and make sense of their internal, physiological states (Berntson, Gianaros, and Tsakiris 2018). Whether agents wi...

Today's post is by Dan Reardon who is currently an MSc student at the Institute for Mental Health , University of Birmingham. Dan is a medical doctor and an entrepreneur who has founded multiple fitness and nutrition companies, including venture capital funded FitnessGenes. He has been featured in InStyle, The New York Times, Men’s Fitness, Inc, Well+Good, Livestrong and on Fox News, ABC News, Inside Edition, Today, BBC News, and “The Doctors.” Dan has a keen interest in the demedicalization of young people, digital wellbeing and resilience. Dan Reardon I have a long-held belief that mental illness is far from something that is “real” in the disease sense, and yet the rate of growth of mental disorders, both the number of potential diagnoses (described by Foucault as being an invention of 19th century reformers), and the number of people suffering, is exponential. I’ve read countless accounts of mental illness being a choice of those that “suffer”, but I’ve realised the statement ...

Today's post is by Derek Bolton . He is Professor of Philosophy and Psychopathology at King’s College London. His latest book co-authored with Grant Gillett  is The Biopsychosocial Model of Health and Disease: Philosophical and Scientific Developments  (Springer Palgrave, 2019, Open Access). Imagine how odd this would be: You or the family were attending clinic (say neurology, orthopedic, pediatric or psychiatric), enquired about causes and cures, and the reply referred to complexity and the Biopsychosocial Model. You go home and look this up, and happen upon criticism by many authoritative commentators to the effect that the Biopsychosocial Model, popular though it is, is scientifically, clinically, and philosophically useless. This is actually where we are and this is the problem we diagnose and address in our book. We propose a formulation of the problem along the following lines: The 1960s and ‘70s saw the beginnings of systems theory approaches in biology, ...

Today's post is written by Charlie Kurth , who is an Associate Professor in the Philosophy Department at Western Michigan University. His research interests focus on issues in ethics, moral and philosophical psychology and emotion theory.  A unifying theme of his work is that research in ethical theory, moral psychology and the philosophy of emotion can be productively informed by empirical inquiry in the cognitive and social sciences. In this post, he discusses his book The Anxious Mind: An Investigation into the Varieties and Virtues of Anxiety published by MIT Press.  My book aims to enrich our understanding of anxiety by exploring two questions—What is anxiety? And is anxiety valuable? While I take these questions to be independently interesting, I also see them as intimately intertwined: understanding what anxiety is helps us understand the ways in which it can be valuable. Consider the first project—investigating what anxiety is. We talk of ‘anxiety’ as if...

Today I have the pleasure to post an interview with my colleague  Heather Widdows , John Ferguson Professor of Global Ethics at the University of Birmingham, who talks to us about her research interest in beauty and her very successful monograph, Perfect Me : Beauty as an Ethical Ideal . LB: Your project examines beauty from a new angle. How did you first become interested in beauty as an ethical ideal? HW: That’s a difficult question to answer as my passion for researching beauty crept up on me. Before working on beauty I was a fairly typical moral philosopher working in global ethics and justice. My main topic was defining global ethics as an multidisciplinary approach to philosophy, taking the real world and empirical evidence seriously. More broadly, I have worked on areas such as women’s rights, reproductive rights, genetic ethics and bioethics. I guess my interest in beauty emerged from this long standing interest in gender justice. I recognised that something w...

This post is authored by Juliette Vazard, a PhD candidate at the  Center for Affective Sciences  at the University of Geneva, and at the  Institut Jean Nicod  at the Ecole Normale Supérieure in Paris.  In this post she discusses her paper “ Epistemic Anxiety, Adaptive Cognition, and Obsessive-Compulsive Disorder ” recently published in Discipline Filosofiche. I am curious about what certain types of dysfunctional epistemic reasoning present in affective disorders might reveal about the role that emotions play in guiding our epistemic activities. Recently, my interest was drawn to the emotion of anxiety. Anxiety has often been understood as belonging to the domain of psychopathology, and the role of this emotion in the everyday lives of healthy individuals has long remained understudied. In this article I argue that anxiety plays an important role in guiding our everyday epistemic activities, and that when it is ill-calibrated, this is likely to result in ...

The Royal College of Psychiatrists hosted its  Faculty of Neuropsychiatry Annual Conference on 13-14 September 2018 in London. I was fortunate to attend the first day and I am going to report on some of the interesting talks I listened to. In the first session speakers focused on neuroscience for psychiatrists, and Paul Johns, author of Clinical Neuroscience , addressed the functional anatomy of the human amygdala. The amygdala is constantly looking out for dangers and helps us evaluate the emotional significance of events. It facilitates social interactions as it enables us to read other people's minds. Further, the amygdala is involved in learning and episodic memory for important events. It is responsible for an implicit emotional memory of negative events to help us avoid adverse stimuli. The amygdala is for assessing environmental cues to determine the adequate response to threats. So patients without the amygdala are fearless but it is possible to experimentall...

This post is by Chris Letheby . In recent decades there has been a growing interdisciplinary attempt to understand self-awareness by integrating empirical results from neuroscience and psychiatry with philosophical theorizing. This is exemplified by the enterprise known as ‘philosophical psychopathology’, in which observations about unusual cognitive conditions are used to infer conclusions about the functioning of the healthy mind. But this line of research has been somewhat limited by the fact that pathological alterations to self-awareness are unpredictable and can only be studied retrospectively—until now. The recent resurgence of scientific interest in ‘classic’, serotonergic psychedelic drugs such as LSD and psilocybin has changed all this. Using more rigorous methods than some of their forebears, psychiatrists have shown that psychedelics can, after all, be given safely in clinical contexts, and may even cause lasting psychological benefits. Small studies have shown ...

My name is Magdalena Antrobus, I am a PhD student working on Project PERFECT, researching psychological and epistemic benefits of depression. Together with Lisa Bortolotti I wrote a paper entitled Depressive Delusions , exploring the nature of delusions in severe forms of depression as well as the process of their formation. Here we present a summary of the article, which was published in 2016 in the Filosofia Unisinos journal. It is common to define delusions as implausible beliefs that are held with conviction but for which there is little empirical support. The vast majority of delusions appearing in severe depression are mood-congruent, which means that their content matches the mood experienced by the person ( Hales and Yudofsky, 2003 ). Common themes of depressive delusions are persecution, guilt, punishment, personal inadequacy, or disease, with half of the affected people experiencing delusions with more than one theme. Stanghellini and Raballo (2015) point to several d...

In this post I interview Fiona Woollard (University of Southampton) about her work in the philosophy of early motherhood. LB: How did you become interested in the philosophy of pregnancy and early motherhood? Can you describe your research interests in this area? FW: I’ve been interested in the ethics of abortion since I was an undergraduate. In fact, it was probably my interest in this issue that lead me to a career in philosophy. But once I became pregnant myself, I felt a strange kind of dissatisfaction with most of the existing literature on abortion. With a few notable exceptions – for example, the wonderful work of Margaret Little – the philosophical literature on abortion failed to engage at all with the messy reality of pregnancy: the blood and guts, the stretch marks and vomiting. Imagine that you were a little green alien from alpha centauri trying to learn about human reproduction from the most popular papers on abortion by analytical philosophers. What kind...

In this post I interview Maria Bavetta, co-founder of Maternal OCD . LB: Could you describe maternal OCD, and tell us how frequent it is? Does it often go undiagnosed? How have you become interested in it? MB: Nearly 13 years ago I gave birth to a beautiful baby girl. Physically it was incredibly easy however that was where the ease stopped. By the time my daughter was three months old I was experiencing terrifying thoughts (obsessions) and repeatedly carrying out exhausting behaviours (compulsions) – mentally I was very unwell. I was suffering from perinatal Obsessive Compulsive Disorder (OCD). Strictly speaking this is OCD during the perinatal period (conception to a year post birth), however the impact can last longer than that finite period. Perinatal OCD is an anxiety disorder that can impact up to 2.5% of women and according to the Royal College of Psychiatrists’ Perinatal OCD leaflet the main symptoms of Perinatal OCD are: Obsessions . These are unwanted thoughts, i...

In this post, Matilde Aliffi (PhD student at the University of Birmingham) reports from the 7th International Summer School of Affective Science (ISSAS) held at Château de Bossey between the 7th and the 14th July 2016. This year ISSAS was entirely dedicated to investigating the role of emotions in fiction and virtual worlds. World leading experts in philosophy, psychology, educational science, neuroscience, affective computing and game design gave their lecture to an audience composed by an international and interdisciplinary community of about forty PhD students.   During the school, workshops were also held on thought experiments, data-analysis, programming and text-based emotion recognition. Participants were divided in eight teams and had the opportunity to design and present a collaborative and interdisciplinary research project tied to the topics of the school. Alongside the lectures, participants also enjoyed artistic events that complemented nicely the lectures wit...

Today's post is by Liz Atkin (pictured below) who is an artist and advocate for Compulsive Skin Picking . To learn more about Liz and what she does, you can access her YouTube channel , listen to her being interviewed by Ted Meyer in 2015 , or read this detailed feature in Like-Minded . The post is illustrated with some of Liz's beautiful artworks. Anxiety is now sited as one of the most common of mental illnesses but some anxiety disorders, Body-Focused Repetitive Behaviours such as Compulsive Skin Picking (CSP or Dermatillomania) and Hair-pulling (Trichotillomania) are seldom recognised and treatment is very hard to access. They are much more common than initially thought and among the most poorly understood, misdiagnosed, and undertreated groups of disorders. BFRBs may affect as many as 1 out of 20 people. Compulsive Skin Picking is a complex physical and mental disorder that often develops in young childhood. It provides comfort, pleasure or emotional releas...

This post is by Robert Noggle (pictured above), Professor of Philosophy at Central Michigan University. Robert is interested in psychological conditions that appear to undermine or threaten personal autonomy. His other main interests are in normative and applied ethics. In this post he summarises his recent paper ‘ Belief, Quasi-Belief, and Obsessive-Compulsive Disorder ’, published in Philosophical Psychology.  Obsessive-Compulsive Disorder (OCD) is fascinating because it can lead to a radical disconnect between professed belief on the one hand, and affect, motivation, and behaviour on the other. Someone with OCD might sincerely profess her disbelief in the idea, say, that flipping a light switch poses a significant fire hazard if you do not do it just right. Yet such a person might also feel anxiety when flipping a switch, and a strong urge to flip it repeatedly to get it just right. Of course, psychologists face the puzzle of how people get into such a state, a...

This post is by Chris Ryan (pictured above), a psychiatrist and Clinical Associate Professor with the University of Sydney and its Centre for Values Ethics and the Law in Medicine. Though primarily a clinician he maintains an active research agenda focusing on issues at the interface of ethics, law, and psychiatry. In this post he writes about his recent work on risk assessment for suicide. Imagine you are me – a psychiatrist working in a hospital with a large emergency department. This morning, like most mornings, you arrive at work to find that ten people have been seen overnight after presenting in some sort of psychological crisis. Many have attempted suicide. How do you work out who should be admitted to hospital and who should go home? On what basis should you make that call? Here is one tempting answer: admit the people that are at the highest risk of actually killing themselves in the future. If this strikes you as a sensible approach, you’re in good company – indeed ma...

This post is by Marwa El Zein (pictured above), currently a postdoctoral researcher in the Social Cognition Group, based in Paris. In this post Marwa summarises her paper ‘ Anxiety Dissociates the Adaptive Functions of Sensory and Motor Response Enhancements to Social Threats ’, co-authored with Valentin Wyart and Julie Grèzes, and published in eLife. I investigate the neural mechanisms of contextual influences during social perceptual decisions. Specifically, my work characterizes behaviorally and neurally how personality traits, past experience, and attention modulate facial perception. In my paper, the adaptive role of moderate anxiety in reacting to social threats is put forward. Neural activity (electroencephalography, EEG) of participants was recorded while they categorized angry and fearful facial emotions. Individual anxiety of participants was assessed thanks to a personality trait questionnaire filled out at the beginning of the experiment (State-Trait Anxiety Inventory). ...

In this post I summarise my talk at the Royal College of Psychiatrists Annual Congress in July 2015, where with Richard Bentall and Phil Corlett I participated in a symposium on "the function of delusions" sponsored by project PERFECT. The main argument I defended in the symposium has now appeared in an open access paper in the British Journal for the Philosophy of Science . Can elaborated and systematized delusions emerging in the context of schizophrenia have a useful function? This is a provocative question, of course, as we know how disruptive delusions can be in the context of schizophrenia. But a serious consideration of the circumstances in which delusional beliefs are adopted can reveal that the delusion is playing a role, admittedly one that has beneficial effects only in a critical situation and whose beneficial effects are short-lived. As philosophers have long recognised, elaborated and systematized delusions in schizophrenia are typically false and ...

On Friday 27th November, project PERFECT (Department of Philosophy), together with the Aberrant Experience and Belief research theme (School of Psychology), held a mini-workshop on the topic of Belief and Emotion . In this post I summarise the three talks given by Allan Hazlett , Neil Levy , and Carolyn Price .  Allan Hazlett opened the workshop with his paper ‘On the Special Insult of Refusing Testimony’. He argued that refusing someone’s testimony (i.e. not believing what someone tells you) is insulting, and to express such refusal amounts to a special kind of insult. Understanding telling as an attempt to engage in information sharing, Hazlett suggested that in telling someone that p, I am asking that person to believe that p because I believe it. Refusing my testimony would be to insult me because it constitutes the person's not trusting me. Hazlett concluded by asking why it is that not trusting would be insulting? He canvassed four ideas to answer this question, la...

Today's post is by Jonny Ward who tweets as the Anxious Fireman  and has also blogged for the Stigma Fighters.   Hello to all reading this. My name is Jonny Ward. I’m 31, male, straight, white and a firefighter with Greater Manchester Fire and Rescue Service. I can grout the shower, chop logs, I have an anxiety disorder, I have travelled a lot of the world and I enjoy mountain biking. If you had to ask me about any one of my interests or traits from that list, which would it be? And why? If this had been someone else and it was three years ago, I would have picked the anxiety disorder part. Because back then I was just as naive to mental ill health as most men. I would consider it unusual, a strange thing to say or admit too. But over the last two years my mind-set has changed tremendously. I suffered with anxiety and panic attacks. It happened after a long period of stress. I was doing too much work, too many projects, trying to please too many people. All of which meant...