Abstract

This Symposium aims to contribute to the discussion on "Why Delusions Matter" by Lisa Bortolotti (2023), published by Bloomsbury. In her book, Bortolotti attempts to decouple delusions from pathology, and argues that delusions should not be dismissed as meaningless, because engaging with them at an epistemic level fosters a deeper understanding of the speaker’s perspective and agency. The Symposium opens with a précis of the book (Bortolotti, 2024a), followed by four commentaries that critically engage with Bortolotti’s argument. Bacchi (2024) suggests that insights from the authenticity debate in psychiatry could support Bortolotti’s claim that delusions could foster agency. Drawing from the literature and from her own lived experience with delusions, Russel (2024) explores the ways in which some delusions can be epistemically valuable. Williams (2024) challenges the implication that popular, non-clinical delusions deserve a more positive reputation. Vintiadis (2024) links Bortolotti’s work to the discussion on comforting delusions in psychedelic-assisted psychotherapy. The Symposium concludes with a reply from Bortolotti (2024b).