Imperfect Cognitions

There’s a lovely little church in Blackberry Hill, Bristol, nestled in the grounds of what was once the old psychiatric hospital. Step inside, and you’ll find a curious assemblage of artefacts, writings, recordings, drawings, and sculptures, telling the stories of the many mental health patients and practitioners of Bristol’s past. Welcome to Glenside Hospital Museum , which I’ll tell you a bit about now, before encouraging you to take a look for yourself if you’re ever over that way. (In terms of the content, I do discuss patient accounts of treatments, some that are quite upsetting.) At the start of the exhibition, we see the shift from dominant attitudes in 1600s Britain of seeing mental illness and distress as a punishment from the Christian god, or a mark of demonic possession, to the idea that the afflicted are sufferers for whom there might be a cure, and the birth of modern psychiatry as a medical field in the 1800s. You can peruse a detailed timeline developed by t...

This post is by Matthew Ratcliffe , Professor for Theoretical Philosophy at the University of Vienna, Austria.  Ratcliffe also leads the  Phenomenological Psychopathology and Philosophy of Psychiatry  research group.  Most of his recent work addresses issues in phenomenology, philosophy of mind, and philosophy of psychiatry. He is the author of: Rethinking Commonsense Psychology: A Critique of Folk Psychology, Theory of Mind and Simulation (Palgrave, 2007), Feelings of Being: Phenomenology, Psychiatry and the Sense of Reality (Oxford University Press, 2008), and Experiences of Depression: A Study in Phenomenology (Oxford University Press, 2015). In this post Ratcliffe presents a review of his most recent book Real Hallucinations: Psychiatric Illness, Intentionality and the Interpersonal World. When we perceive something, we seldom wonder whether we are actually perceiving it rather than imagining or remembering it. Perceptual experience ordinarily incorporates...

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...

In today's post, Peter Kinderman introduces his new book ‘ A Prescription for Psychiatry: Why We Need a Whole New Approach to Mental Health and Wellbeing ’, which is published by Palgrave Macmillan. I am professor of Clinical Psychology at the University of Liverpool and President-Elect of the British Psychological Society . My research interests are in psychological processes underpinning wellbeing and mental health. I have published widely on the role of psychological factors as mediators between biological, social and circumstantial factors in mental health and wellbeing. I have been awarded (with colleagues) a total of over £6 million in research grant funding (from the Medical Research Council, the Economic and Social Research Council, the Wellcome Trust, the NHS Forensic Mental Health Research and Development Programme, the European Commission and others). My most recent grant, awarded in 2015, was for a total of over £1m from the Economic and Social Research Council (ESR...

On 4th June I attended some talks at the  Valuing Health Conference  at University College London (see picture above), where the themes of Dan Hausman’s book,  Valuing Health  (Oxford University Press, 2015) were discussed. The event was organised by Jo Wolff and James Wilson. The intended audience was philosophers, economists, and also healthcare policy makers. The conference started with a brief overview of the arguments in the book, presented by Dan Hausman (University of Wisconsin) . There are two basic problems the book was meant to address: (1) we need to be able to compare health improvements brought by different policies; (2) we need to know what to do with the information (e.g., maximise health). Thus, the book provides answers to the following questions: How do we assign values to health states? How do we assess policies on the basis of those values? What role should people play in assigning values to policies? The discussion raises further questi...

On 12th May 2015 in London I attended the " Psychiatry and Society " conference organised by the Psychiatry Section of the Royal Society of Medicine. Here I will summarise the talks I heard in sessions 2 and 3, emphasising those themes that have already been discussed in the blog. (If interested in session 1 of the conference, I reported on it last week). Session 2: Genetics, Neuroscience and Mental Disorder Neuroscientist  Pamela Sklar  asked "How may genetics change our understanding of mental illness?" and she focused on schizophrenia as a "mystery", that is a disorder that is both inherited and very common. Thousands of DNA alleles are involved in the risk of developing schizophrenia and bipolar disorder. The difficulty in identifying the genetic bases of such disorders made some people think that research in this area was doomed to failure. But both for bipolar disorder and for schizophrenia some regions that increase risk have been discovered s...

On 12th May 2015 in London I attended the " Psychiatry and Society " conference organised by the Psychiatry Section of the Royal Society of Medicine. Here I will summarise the talks I heard in session 1, emphasising those themes that are close to our blog readers' hearts. Session 1: Genetics and Neuroscience of Mind, Self and Behaviour Neuroscientist Jean-Pierre Changeux  (pictured above) kicked off the conference with a presentation entitled: "What neuroscience can tell us about mind and behaviour?" He presented the brain as a very complex physico-chemical system about which we know a lot already but not everything. This is because the brain is the product of the integration of different types of evolution occurred in millions of years (evolution of species in terms of variability of genome, ontogenetic development in terms of variability of connections, evolution of thought in terms of variability of spontaneous activity and synaptic efficacies, and soc...

Launch of the report On 27 November 2014 the British Psychological Society (Division of Clinical Psychology) launched a new ground-breaking report on Understanding Psychosis and Schizophrenia, edited by Anne Cooke. At the meeting, contributors and other interested parties offered their own view of the challenges that need to be met to ensure that people hearing voices and having unusual beliefs can get support in an effective way. I only attended the morning session, and this is a brief report of the content of the talks I heard. Peter Kinderman (Professor of Clinical Psychology at the University of Liverpool) opened the session and welcomed the audience and the speakers. The first speaker, Luciana Berger (MP and shadow Minister for Public Health and Mental Health) highlighted the need to invest more in mental health and make sure that mental health receives the same attention and resources as physical health. She praised those sections of the report suggesting that psychosi...

My primary research interests are in ethics and philosophy of psychiatry. For the past ten years I have worked as a lecturer and researcher in bioethics at the Centre for Ethics in Medicine, University of Bristol. Self Harm by Kerry Gutridge During the past four years, my research has focused on the ethical, legal, philosophical and policy issues of self harm. In particular, I have been concerned with the ethical questions which arise when doctors or nurses allow patients to self harm in psychiatric hospitals. I first encountered this issue when it was reported in the British press that patients were being allowed to self cut in some NHS hospitals. For example, one inpatient was allowed to keep a piece of glass in a locked draw in her room and use it to cut her knees. This idea is of course controversial . Many people find the idea of allowing patients to self harm in medical institutions at best counter intuitive and at worst sickening and morally wrong. However, I argue that i...

 Chris Letheby Greetings! I'm a Ph.D. student at the University of Adelaide , Australia, writing a thesis on philosophical issues concerning scientific research into psychedelic drugs. This research raises questions in bioethics, philosophy of mind, philosophy of psychiatry, philosophy of self, naturalised epistemology, and philosophy of cognitive science. In this post I propose that some psychedelic states are epistemically innocent imperfect cognitions. I have omitted citations for stylistic reasons but will gladly supply them on request. Psychedelic (or 'hallucinogenic') drugs are once again being studied as psychotherapeutic and transformative agents, and results thus far are intriguing. There is evidence that a single administration of a psychedelic can yield durable improvement in symptoms of such conditions as obsessive compulsive disorder, treatment-resistant depression, addiction, and anxiety associated with terminal illness. Moreover, psychedelic experien...