Somogy Varga

Grief is often described as characterized by a particular emotional response to another person’s death. While this is true of paradigm cases, we argue that a broader notion of grief allows accommodating forms of this emotional experience that deviate from the paradigmatic case. The bulk of the paper explores such a nonparadigmatic form of grief, anticipatory-vicarious grief, which is typically triggered by pondering the inevitability of our own death. We argue that AV-grief is a particular moral emotion that serves a unique function and is indissolubly linked to the practical identities of human agents. An agent’s AV-grief is about the harm that occurs to individuals whose practical identities depend on the agent.

The publication of the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders has stirred many emotions both inside and outside of the psychiatric community. But when the director of the U.S. National Institute of Mental Health, Thomas Insel's, critique of the DSM-5 became public, even some antipsychiatrists were surprised. Insel argued that although the DSM's diagnostic categories have become the standard to obtain research grants and to conduct trials, they are not based on objective measures, lack validity, do not make accurate predictions about illness trajectory, and fail to map onto findings from neuroscience and genetics. In contrast with the...

Scaffolded Minds offers a novel account of cognitive scaffolding and its significance for understanding mental disorders. The book is part of the growing philosophical engagement with empirically informed philosophy of mind, which studies the interfaces between philosophy and cognitive science. It draws on two recent shifts within empirically informed philosophy of mind: the first, toward an intensified study of the embodied mind; and the second, toward a study of the disordered mind that acknowledges the convergence of the explanatory concerns of psychiatry and interdisciplinary inquiries into the mind. The book sets out to accomplish a dual task: theoretical mapping of cognitive scaffolding; and the application/calibration of fine-grained philosophical distinctions to empirical research. It introduces the notion of actively scaffolded cognition (ASC) and offers a taxonomy that distinguishes between intrasomatic and extrasomatic scaffolding. It then shows that ASC offers a productive framework for considering certain characteristic features of mental disorders, focusing on altered bodily experience and social cognition deficits.

Christopher Boorse’s Health care ethics: an introduction, Temple University Press, Philadelphia, pp 359–393, 1987; in Humber, Almeder, Totowa What is disease?, Humana Press, New York City, pp 1–134, 1997; J Med Philos, 39:683–724, 2014) Bio-Statistical Theory comprehends diseases in terms of departures from natural norms, which involve an objectively describable deviation from the proper physiological or psychological functioning of parts of the human organism. I argue that while recent revisions and additional considerations shield the BST from a number of issues raised by critics, they give rise to significant new challenges. These are related to the attribution of epistemic authority, the possibility of multiple concepts in the authoritative literature, and the framing of BST as “philosophical explication.” The conclusion is that, in its current form, the BST is unable to provide a robust framework for a naturalist classification.

In this paper, we draw on developmental findings to provide a nuanced understanding of background emotions, particularly those in depression. We demonstrate how they reflect our basic proximity (feeling of interpersonal connectedness) to others and defend both a phenomenological and a functional claim. First, we substantiate a conjecture by Fonagy & Target (International Journal of Psychoanalysis 88(4):917–937, 2007) that an important phenomenological aspect of depression is the experiential recreation of the infantile loss of proximity to significant others. Second, we argue that proximity has a particular cognitive function that allows individuals to morph into a cohesive dyadic system able to carry out distributed emotion regulation. We show that elevated levels of psychological suffering connected to depressive background emotions may be explained not only in terms of a psychological loss, but also as the felt inability to enter into dyadic regulatory relations with others—an experiential constraint that decreases the individual’s ability to adapt to demanding situations.

In this paper, we first review recent arguments about the direct perception of the intentions and emotions of others, emphasizing the role of embodied interaction. We then consider a possible objection to the direct perception hypothesis from social psychology, related to phenomena like ‘dehumanization’ and ‘implicit racial bias’, which manifest themselves on a basic bodily level. On the background of such data, one might object that social perception cannot be direct since it depends on and can in fact be interrupted by a set of cultural beliefs. We argue, however, that far from threatening the idea of direct perception, these findings clearly contradict the idea of hardwired theory of mind modules. More generally, we suggest that in order to further the understanding of social cognition we must take seriously insights about in-group and out-group distinctions and related phenomena, all of which are currently neglected in the mainstream social cognition literature

From Minkowski and Jaspers to Blankenburg, phenomenological psychopathology has assumed that lost or diminished experience of ‘realness’ is related to an impairment of tacit level intersubjectivity. This paper develops a theoretical framework for this hypothesis by drawing mainly on the phenomenological tradition and the works of Wittgenstein. The argument, in return, contributes to recent discussions regarding depersonalization and intersubjectivity. In addition, the approach suggests some interesting implications for psychopathology.

Some of our motives that we act on are not only of unconstrained origin, but we also take them to express who we are and, thus, to "speak for us." Harry G. Frankfurt has maintained that it is the formation of a hierarchical structure by means of an act of wholehearted identification that makes a given motive genuinely one's own. I argue that wholehearted identifications fail to live up to this task. Instead, I demonstrate that only a subtype of wholehearted identifications, namely core identifications, genuinely "speak for us." In addition, I argue that core identifications help explain the peculiar phenomenology that characterizes some of our crucial choices.

Often drawing on the phenomenological tradition, a number of philosophers and cognitive scientists working in the field of “embodied cognition” subscribe to the general view that cognition is grounded in aspects of its sensorimotor embodiment and should be comprehended as the result of a dynamic interaction of nonneural and neural processes. After a brief introduction, the paper critically engages Lakoff and Johnson’s “conceptual metaphor theory”, and provides a review of recent empirical evidence that appears to support it. Subsequently, the paper underscores some of the limitations of CMT, points to some philosophical problems that require further attention, and explores possible implications for understanding and treating of mental disorders.

In contemporary philosophy of the cognitive sciences, proponents of the ‘Hypothesis of Extended Cognition’ have focused on demonstrating how cognitive processes at times extend beyond the boundaries of the human body to include external physical devices. In recent years the HEC framework has been put to use in cases of “socially” extended cognition. The guiding intuition in this paper is that exploring the cognitive incorporations of genuinely social elements may advance HEC debates. The paper provides an analysis of emotion regulation in ‘dyadic synchronic interaction’ between infant and caretaker and argues that some ‘socially extended’ cases of cognition cannot be captured with the HEC. Instead, the ‘Hypothesis of Emergent Extended Cognition’ is introduced that complements the HEC and helps in understanding how cognitive properties are sometimes irreducibly emergent, non-programmed properties of coupled social systems. It will be concluded that operating with the HEEC leads to both a more precise grip on the explanandum and to a more robust explanans

This collection of essays provides the first systematic investigation of practical necessity and offers novel perspectives on this intriguing phenomenon. While debates on necessity often take place in the realm of metaphysics, there is a form of necessity that is pertinent to practical philosophy. “Here I stand. I can do no other,” a phrase habitually attributed to Luther, is often interpreted as revealing underlying normative reasons that exhibit a special kind of necessitating force, experienced as an inescapable constraint by the agent. However, one of the features that make this phenomenon so fascinating is that this constraint is often deciphered as stemming from a form of necessitation that articulates the agent’s autonomy or practical identity. Luther’s saying serves as a leitmotif for an exploration of different claims and challenges related to practical necessity.

ExcerptThe ideal of authenticity—roughly, that one should lead a life that is expressive of what the person takes herself to be—has become a strong and widespread ethical ideal with an immense impact on popular culture, most revealingly in the quest for authenticity in popular self-help literature. The “age of autonomy” that emphasized the individual's self-governing abilities is replaced by what Charles Taylor called “the age of authenticity.”1 In the same vein, Alessandro Ferrara notes that the concept of authenticity is “to contemporary modernity as the notion of autonomous subjectivity is to early modernity.”2At the same time, authenticity is no…

Worries about the potential medicalization of social and moral problems has propelled the debate on the nature of mental disorder, with normativists insisting that psychiatric classification is inherently value-laden and naturalists maintaining that a purely descriptive account of disease is possible. In recent work, some authors take a different path, accepting that the concepts of disease and mental disorder are value-laden but maintaining that this does not prevent objective truths regarding mental disorder attribution. This paper explores two such accounts and the important steps they provide toward rethinking the nature and metaphysical status of mental disorder. The challenges raised in this paper are meant to contribute to the further development of this stimulating work.

The Extended Mind Hypothesis has given rise to stimulating philosophical debates about the boundaries of the realm of the cognitive. This paper first investigates the usefulness of a “mark of the cognitive,” and then focuses on two accounts that aim to provide such a mark, put forward by Fred Adams and Rebecca Garrison on one side and Mark Rowlands on the other. The paper provides a critical assessment of these accounts and uses empirical work on emotion regulation in infants to unearth some crucial challenges that any attempt at offering a mark of the cognitive should address.

Drawing on empirical material from social psychology, ‘situationism’ argues that the astonishing susceptibility of moral behaviour to situational influences undermines certain conceptions of character. The related, albeit more limited, thesis proposed in this paper, ‘embodied situationism’, engages a larger number of empirical sources from different fields of study and sheds light on the mechanisms responsible for particular, seemingly puzzling, situational judgments and behaviours. It is demonstrated that the empirical material supports the claims of ES and that ES is immune to some important objections against situationism.

Cognitive theory (CT) is currently the most widely acknowledged framework used to describe the psychological processes in affective disorders like depression. The purpose of this paper is to assess the philosophical assumptions upon which CT rests. It is argued that CT must be revised due to significant flaws in many of these philosophical assumptions. The paper contains suggestions as to how these problems could be overcome in a manner that would secure philosophical accuracy, while also providing an account that is better suited to explaining some of the cognitive, emotional, and bodily manifestations of affective disorders

Psychotic and prodromal states are characterized by distortions of intersubjectivity, and a number of psychopathologists see in the concrete I-You frame of the clinical encounter the manifestation of such impairment. Rümke has coined the term of ‘praecox-feeling’, designated to describe a feeling of unease emanating in the interviewer that reflects the detachment of the patient and the failure of an ‘affective exchange.’ While the reliability of the praecox-feeling as a diagnostic tool has since been established, the explanation and theoretical framing of the phenomena is still lacking. By drawing on enactivist approaches to social cognition, the paper will attempt to provide such an explanation. This is relevant, since such an explanation could contribute to a more precise understanding of the phenomena in question and possibly add to our knowledge regarding the link between experiential vulnerability to psychosis and disturbed I-Thou intersubjectivity

The relationship between self‐realization, and so what I really wholeheartedly endorse and owe to myself, and morality or what we owe to others is normally thought of as antagonism, or as a pleasant coincidence: only if I am indebted to such relations as my fundamental projects that I care wholeheartedly about does morality have a direct connection to self‐realization. The aim of this article is to argue against this picture. It will be argued that the structure of self‐realization and the caring activity involved commits the person to values that are beyond the object of his wholehearted caring, in a way that might just pave the way to morality.

The Philosophy of Psychiatry is a unique area of research because the nature of the subject matter leads to quite distinct methodological issues. Naturalism, Interpretation, and Mental Disorder is an original new work focusing on the challenges we face when trying to interpret and understand mental illness. The book integrates a hermeneutical perspective, and shows how such an approach can reveal important facts about historical sources in psychiatry and the nature of dialogue in the therapeutic encounter. In addition, the book demonstrates how such an approach can be valuable for understanding the concept of mental disorder itself. Naturalism, Interpretation, and Mental Disorder brings fresh thinking to the philosophy of psychiatry, and will be of interest to students and scholars in the fields of Mental Health and Philosophy.

Although the Historical concept of melancholia has undergone numerous metamorphoses, it has maintained a place in psychiatric classification and currently refers to a specific melancholic subtype of major depression (American Psychiatric Association 2000, 419). Although melancholia—as a description of pathological states—constitutes the focus of this paper, it must be pointed out that the range of states encompassed by melancholia cover a far wider spectrum than that covered by the term ‘disease.’ As Jennifer Radden notes, melancholia (and melancholy) referred to “both a normal disposition and a sign of mental disturbance” (Radden 2000, ix), thus covering a wide range of emotional variations that cannot be reduced ..