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Epistemic Benefits of Elaborated and Systematized Delusions in Schizophrenia

机译:精细化和系统化妄想在精神分裂症中的认知益处

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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 theymay 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.
机译:在本文中,我想问一下在精神分裂症的背景下出现的精心设计和系统化的妄想是否具有认知纯真的潜力。如果认知具有重大的认知益处,而认知益处在认知上是纯真的,那是其他方式无法实现的。特别是,我认为,如果认知在给定的时间给给定的主体带来了显着的认知益处,并且在那个时候没有提供相同的认知益处的替代认知,那么它在认识上是无辜的。精神分裂症中精心阐述和系统化的妄想通常是错误的,并说明了理性和自我知识的失败。实证研究表明,通过减轻焦虑和增强意义,他们可能具有心理上的益处。此外,由于这些错觉被认为是自适应的,因为它们使自动学习能够在由于不正确的预测错误信号引起的重大破坏后恢复。我认为,这种心理益处和适应性特征也具有积极的认识论后果。更准确地说,妄想可能是恢复精神病前期阶段因高盐经验而无法承受的特工恢复认知功能的一种手段。这种分析导致对妄想的认知状态的看法比当代哲学文献中更为复杂,并且对临床实践具有一定意义。

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