Skip to content

Thinking in schizophrenia and the social phenomenology of thought insertion

Pablo López-silva

Philosophical Psychology March 26, 2024 DOI: 10.1080/09515089.2024.2334720 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Theoretical or philosophical paper Peer reviewed
Topics Philosophy of mind
Citations 2
Key points Argues that the standard approach to thought insertion neglects the multimodal nature of thinking in psychosis and the social dimension of delusional phenomenology, and proposes a broader descriptive phenomenological characterization.

Abstract

ABSTRACT Patients suffering from delusions of thought insertion (TI) report that external agents of different nature have placed thoughts into their minds. The symptom involves distressing feelings of intromission and exposition, loss of mental privacy, diminished ego boundaries, and a – often neglected – peculiar “physicality”. A dominant approach within cognitive sciences characterizes TI as involving alterations in the experience of being the author of certain thoughts. For the advocates of this so-called Standard Approach to TI, the absence of a sense of agency for certain thoughts would lead to their externalization, this explaining the general structure of the clinical reports. In this paper, I problematize the phenomenological picture of everyday thoughts that the standard approach adopts when trying to make sense of TI. I claim that the standard approach neglects two more fundamental aspects of TI, namely the multimodal nature of thinking in psychosis and the deeply social dimension of the phenomenology of delusions in schizophrenia. After this, a broader descriptive phenomenological characterization of TI is provided. Finally, I establish some connections between the characterization of TI developed here and current research in social perception and clinical practice.

Comparable studies

Other theoretical and historical papers on philosophy of mind, most cited first.

Citations in the library

Explore topics