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Epistemic Benefits of Elaborated and Systematized Delusions in Schizophrenia
The British Journal for the Philosophy of Science ( IF 3.4 ) Pub Date : 2016-09-01 , DOI: 10.1093/bjps/axv024
Lisa Bortolotti 1
Affiliation  

In this article I ask whether elaborated and systematized delusions emerging in the context of schizophrenia have the potential for epistemic innocence. Cognitions are epistemically innocent if they have significant epistemic benefits that could not be attained otherwise. In particular, I propose that a cognition is epistemically innocent if it delivers some significant epistemic benefit to a given agent at a given time, and if alternative cognitions delivering the same epistemic benefit are unavailable to that agent at that time. Elaborated and systematized delusions in schizophrenia are typically false and exemplify failures of rationality and self-knowledge. Empirical studies suggest that they may have psychological benefits by relieving anxiety and enhancing meaningfulness. Moreover, these delusions have been considered as adaptive in virtue of the fact that they enable automated learning to resume after a significant disruption caused by incorrect prediction-error signalling. I argue that such psychological benefits and adaptive features also have positive epistemic consequences. More precisely, delusions can be a means to restoring epistemic functionality in agents who are overwhelmed by hypersalient experiences in the prodromal stage of psychosis. The analysis leads to a more complex view of the epistemic status of delusions than is found in the contemporary philosophical literature and has some implications for clinical practice. 1 Introduction 2 Types of Delusions 3 What Is Wrong with Elaborated and Systematized Delusions? 4 Finding Life Meaningful 5 Learning Resumed 6 Epistemic Innocence 7 Epistemic Benefit 8 No Alternatives 9 Conclusions and Implications 1 Introduction 2 Types of Delusions 3 What Is Wrong with Elaborated and Systematized Delusions? 4 Finding Life Meaningful 5 Learning Resumed 6 Epistemic Innocence 7 Epistemic Benefit 8 No Alternatives 9 Conclusions and Implications

中文翻译:

精心设计和系统化妄想在精神分裂症中的认知益处

在这篇文章中,我询问在精神分裂症的背景下出现的详细和系统化的妄想是否具有认知无罪的潜力。如果认知具有以其他方式无法获得的显着认知益处,则认知在认知上是无辜的。特别地,我提出,如果一个认知在给定的时间为给定的代理人提供了一些重要的认知利益,并且如果当时该代理人无法获得提供相同认知利益的替代认知,那么这种认知在认知上是无辜的。精神分裂症中精心设计和系统化的妄想通常是错误的,是理性和自我认识失败的例证。实证研究表明,它们可能通过缓解焦虑和增强意义而获得心理益处。而且,这些妄想被认为是适应性的,因为它们使自动学习能够在由不正确的预测错误信号引起的重大中断后恢复。我认为这种心理益处和适应性特征也具有积极的认知后果。更准确地说,在精神病的前驱阶段,被过度突出的经历所淹没的代理人可以通过妄想来恢复认知功能。该分析导致对妄想的认知状态的看法比当代哲学文献中发现的更为复杂,并且对临床实践有一些影响。1 介绍 2 妄想的类型 3 精心设计和系统化的妄想有什么问题?4 发现生活有意义 5 继续学习 6 认知纯真 7 认知益处 8 没有替代方案 9 结论和含义 1 介绍 2 妄想类型 3 精心设计和系统化的妄想有什么问题?4 发现生活有意义 5 恢复学习 6 认知纯真 7 认知益处 8 没有替代方案 9 结论和影响
更新日期:2016-09-01
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