The present paper offers an analysis of _derealization disorder_, a disorder in which the experience of reality is altered. In this respect, usually, real objects are experienced as _mind-independent_ and as _offering motoric interaction_. These two features seem to be responsible for our experience of objects in quality of _real objects_. Then, a crucial question is the following: what aspect of the experience of reality is derealization, in quality of a disorder of reality, about? This paper suggests that, in (...) the case of _derealization_, what is disrupted is the experience of _mind-independence_, but not the experience of _possibility for motor interaction_. By doing so, however, the paper also suggests something important on the relation between these two experiences, namely, that they can be, _contra_ any alleged, very general intuition, disjointed, as the case of derealization shows. (shrink)

The tension between the need for critique and its (often unperceived) limits through our given common sense, a tension Charles S. Peirce describes as critical common sense, hasn’t lost its actuality. Vague certainty is one root of this tension, which the paper unfolds by distinguishing two forms: while the first one grounds common sense as a form of life, the second one, self-certainty, represents the purpose of endeavors, and it serves, speaking with Pierre Bourdieu, as a form of distinction (1). (...) As part of an indifference towards power structures of exclusion, vague certainties contribute to what Judith Butlers describes as the violent derealization of others, which is being discussed in the light of the Black Lives Matter and Me Too movement. (Self-)certainty, as is being shown, is not (merely) an epistemological matter, but encompasses the fields of the political and aesthetic. Accordingly, as a crucial part of political critique and practices to counter (self-)certainties, a differentiation of doubting is required – the paper proposes four different kinds: authoritarian, anti-authoritarian, acknowledging and imaginative doubting. They help understand the political struggles of re-realizing formerly derealized positions within society (2). Particularly through imaginative doubting, some shortcomings within Peirce’s notion of the self (and, for that matter, within the pragmatist notion of doubting) are being overcome by showing how to link it to creative processes of abduction, which in turn have consequences for political matters by unsettling implicit consent, or, in the words of Jacques Rancière, the partition of the sensible (3). (shrink)

In this study we intend to investigate the ancient city as the state unable to guarantee the protection and enforcement of justice between individuals and the birth of the Republic undemocratic libel resultant of the failure and the decay of the old city. Plato tries to convince men that it is life in a community that makes it possible to happiness in our short roaming in the world. The ontology of the property falls here as a strategy of persuasion on (...) the insistence of preserving the unity of the city as institutional correlate the individual's fully integrated itself. (shrink)

Depersonalization/derealization disorder is classified as a dissociative disorder in the DSM5. It is noteworthy that the symptoms of depersonalization and derealization are commonly found in many other psychological disorders, including schizophrenia spectrum disorders, while phenomenological features of schizophrenia are commonly found in DPDR. The current study attempts to clarify these apparent similarities via highly detailed phenomenological interviews with four persons diagnosed with DPDR. The data revealed four interrelated facets: 1, Loss of resonance, 2, Detachment from experience, 3, Loss (...) of self, and 4, Commitment to reality. These facets point to a felt loss of immediate and familiar engagement in experience as a basic organizing Gestalt which permeates the various symptoms and signs of our participants with DPDR. Close consideration of this disruption allows their experiences to be more easily distinguished from those of schizophrenia-spectrum disorders. (shrink)

Depersonalization/Derealization Disorder (DPD) is a psychopathological condition in which subjects suffer from a massive alienation from themselves and the world around them. In recent years, several philosophers have proposed accounts that explain DPD in terms of an alteration in global features of normal consciousness, such as ‘mineness’. This article criticizes such accounts and develops an alternative approach, based on the observation that many mental states relate to the subject because of the kind of state they belong to. I argue (...) that most symptoms of DPD can be understood as impairments in such forms of self-relation. (shrink)

Depersonalization and derealization refer to states of dissociation in which one feels a sense of alienation in relation to one’s self and environment, respectively. Whilst transient episodes often diminish without treatment, chronic experiences of DP and DR may last for years, with common treatments lacking a strong evidence base for their efficacy. We propose a theoretical explanation of DP and DR based on interoceptive predictive coding, and discuss how transient experiences of DP and DR may be induced in the (...) non-clinical population using virtual reality. Further, we review the use of heartbeat evoked potentials in detecting the neural correlates of DP and DR allowing for an objective measure of these experiences in the non-clinical population. Finally, we discuss how the induction and detection of transient experiences of DP and DR in the non-clinical population could shed light on how the brain constructs one’s sense of self and reality. (shrink)

In this study a systematic analysis of signaled metaphor is undertaken in naturally occurring discourse from an online forum relating to the experience of depersonalization/derealization, which has a specific relationship with metaphor. While it is relatively easy to locate pre-identified metaphor source terms in such large text corpora, finding singular metaphor that may express subjective experience is recognized as a difficult but important task, which signals of metaphor may support. It is vital to accurately represent, such discourse, rather than (...) only impose pre-defined knowledge, in order that ethical concerns such as exclusion, demographic misrepresentation, and bias confirmation, may be addressed. It is shown that different signals of metaphor investigated perform different functions in relation to metaphor, with many of them supporting use of idiosyncratic metaphor that appears to express the subjective experience of forum participants. Analysis of nouns across all sentences identified as containing signaled metaphor yields previously unknown terms that are typically associated with metaphor in this context, via a method that is grounded in the data. In addition, the summary list of metaphor signaling constructions may support further such investigations in large text corpora. (shrink)

We investigate the nature of the sense of presence that usually accompanies perceptual experience. We show that the notion of a sense of presence can be interpreted in two ways, corresponding to the sense that we are acquainted with an object, and the sense that the object is real. In this essay, we focus on the sense of reality. Drawing on several case studies such as derealization disorder, Parkinson’s disease and virtual reality, we argue that the sense of reality (...) is two-way independent from the spatial and sensory contents of experience. We suggest that the sense of reality is an affective experience akin to a metacognitive feeling. Finally, we present a potentially important implication of our account for the current debate between Intentionalism and Naïve Realism. Since perception is “opaque” with respect to the reality of what is perceived, Intentionalism cannot refer to the sense of reality as what differentiates perception from sensory-like experiences such as imaginings. In contrast, Naïve Realism has an independent explanation of the specificity of perception. (shrink)

The term near‐death experience (NDE) generally refers to a state of altered consciousness that can occur during real or presumed near‐death circumstances and/or life‐threatening incidents. The NDE usually includes the impression of being conscious while out of and/or away from the physical body, often accompanied by other specific features. Furthermore, when the experient has the impression of being in a perceived locality that transcends the observable physical Earth, it is referred to by researchers as a transcendental NDE. Whereas transcendental NDEs (...) have been widely studied, there is also another type of experience that can occur under similar life‐threatening conditions that I refer to as an alternative life experience (ALE), which consists of a perception of living another alternative life where the experient is aware of the self, but does not believe at the time of occurrence that they are either out of or away from their physical body. After providing a total of 15 examples, I note some similarities and differences between ALEs and transcendental NDEs while providing some qualitative and quantitative results, suggesting that ALEs might be similar to some aspects of transcendental NDEs despite their neglect in the study of altered states of consciousness during near‐death circumstances. I further postulate that ALEs might be subjective psychological experiences of dissociation and/or absorption. It is then pointed out that symptoms of derealization are a common ALE aftereffect and so an awareness of that association is stressed as having therapeutic importance. (shrink)

The present article delineates how the Roman and Christian dispositif of the person has increasingly brought about a neat division between persons and things. This has had devastating effects for both. On the one hand, things are reduced not only to servile objects but also to disposable commodities. On the other, the process of derealization of things is paralleled by that of depersonalization of persons; different typologies of persons emerge, historically reproduced by the distinction between real persons and those (...) that are declared non-persons, almost-persons, temporary persons or anti-persons. It is, however, possible to develop a new anti-hierarchical conception of things and persons by focusing on the human body and by taking into account the findings of anthropology as well as the works of philosophers such as Spinoza, Simondon and Latour. (shrink)

This chapter offers an overview of the phenomenological approach to delusions, emphasizing what Karl Jaspers called the "true delusions" of schizophrenia. Phenomenological psychopathology focuses on the experience of delusions and the delusional world. Several features of this approach are surveyed, including emphasis on formal qualities of subjective life and questioning of standard assumptions about delusions as erroneous belief. The altered modalities of world-oriented and self-oriented experience that precede and ground delusions in schizophrenia, especially the experiences of revelation that Klaus Conrad (...) termed the outer and inner apophany, are then discussed. The chapter first considers the famous "delusional mood", then the role of ipseity-disturbance. In both cases it is explained how delusions can develop out of these distinctive alterations of perception and feeling. The classic question of the understandability or comprehensibility of schizophrenic delusion, together with the related issues of wish-fulfillment and rationalizing motives are then considered. The chapter addresses the crucial but neglected issue of the felt reality-status of delusions or the delusional world, discussing derealization, "double bookkeeping", and "double exposure". The chapter concludes by discussing delusions typically found in paranoid and affective psychoses, and monothematic delusions found in certain organic conditions. (shrink)

This article explores four major areas of moral concern regarding virtual reality technologies. First, VR poses potential mental health risks, including Depersonalization/Derealization Disorder. Second, VR technology raises serious concerns related to personal neglect of users’ own actual bodies and real physical environments. Third, VR technologies may be used to record personal data which could be deployed in ways that threaten personal privacy and present a danger related to manipulation of users’ beliefs, emotions, and behaviors. Finally, there are other moral (...) and social risks associated with the way VR blurs the distinction between the real and illusory. These concerns regarding VR naturally raise questions about public policy. The article makes several recommendations for legal regulations of VR that together address each of the above concerns. It is argued that these regulations would not seriously threaten personal liberty but rather would protect and enhance the autonomy of VR consumers. (shrink)

Virilio and Lotringer revisit their prescient book on the invisible war waged by technology against humanity since World War II. In June 2007, Paul Virilio and Sylvère Lotringer met in La Rochelle, France to reconsider the premises they developed twenty-five years before in their frighteningly prescient classic, Pure War. Pure War described the invisible war waged by technology against humanity, and the lack of any real distinction since World War II between war and peace. Speaking with Lotringer in 1982, Virilio (...) noted the “accidents” that inevitably arise with every technological development: from car crashes to nuclear spillage, to the extermination of space and the derealization of time wrought by instant communication. In this new and updated edition, Virilio and Lotringer consider how the omnipresent threat of the “accident”—both military and economic—has escalated. With the fall of the Soviet bloc, the balance of power between East and West based on nuclear deterrence has given way to a more diffuse multi-polar nuclear threat. Moreover, as the speed of communication has increased exponentially, “local” accidents—like the collapse of the Asian markets in the late 1980s—escalate, with the speed of contagion, into global events instantaneously. “Globalization,” Virilio argues, is the planet's ultimate accident.Paul Virilio was born in Paris in 1932 to an immigrant Italian family. Trained as an urban planner, he became the director of the École Speciale d'Architecture in the wake of the 1968 rebellion. He has published twenty-five books, including Pure War and The Accident of Art, both with Sylvère Lotringer and published by Semiotext. Sylvère Lotringer, general editor of Semiotext, lives in New York and Baja California. He is the author of Overexposed: Perverting Perversions, 2007) and other books. (shrink)

An elegant theory in cognitive neuropsychiatry explains the Capgras and Cotard delusions as resulting from the same type of anomalous phenomenal experience explained in different ways by different sufferers. ‘Although the Capgras and Cotard delusions are phenomenally distinct, we thus think that they represent patients’ attempts to make sense of fundamentally similar experiences’ (Young and Leafhead, 1996, p. 168). On the theory proposed by Young and Leafhead, the anomalous experience results from damage to an information processing subsystem which associates an (...) affect of ‘familiarity’ with overt recognition of faces, and, sometimes, scenes and objects. When the normal affect of familiarity is absent the subject experiences an unusual feeling of derealization or depersonalization. The Cotard and Capgras patients adopt different, delusional, explanations of this unusual qualitative state, for reasons to do with ‘attributional style’. It is part of this attribution hypothesis that delusional subjects, like normal people, interpret perceptual phenomena in the light of a set of background beliefs whose structure is a product of social/contextual influences and individual psychological dispositions. That structure predisposes people to reason in certain ways, to discount or reinterpret evidence and to favour certain hypoth-. (shrink)

The human self model comprises essential features such as the experiences of ownership, of body-centered spatial perspectivity, and of a long-term unity of beliefs and attitudes. In the pathophysiology of schizophrenia, it is suggested that clinical subsyndromes like cognitive disorganization and derealization syndromes reflect disorders of this self model. These features are neurobiologically instantiated as an episodically active complex neural activation pattern and can be mapped to the brain, given adequate operationalizations of self model features. In its unique capability (...) of integrating external and internal data, the prefrontal cortex (PFC) appears to be an essential component of the neuronal implementation of the self model. With close connections to other unimodal association cortices and to the limbic system, the PFC provides an internally represented world model and internal milieu data of the organism, both serving world orientation. In the pathophysiology of schizophrenia, it is the dysfunction of the PFC that is suggested to be the neural correlate for the different clinical schizophrenic subsyndromes. The pathophysiological study of psychiatric disorders may contribute to the theoretical debate on the neuronal basis of the self model. (shrink)

According to dogmatism, our perceptual experience provides immediate justification for our beliefs about the external world. In particular, according to some versions of dogmatism, an experience with phenomenological strength (aka ‘phenomenal force’) is sufficient for immediate perceptual justification (call this ‘the phenomenal sufficiency thesis’). However, the sufficiency thesis has been challenged based on cases in which certain imaginative experiences with phenomenal force fail to justify. So, the dogmatist may claim that while phenomenal force is not sufficient, it’s still necessary for (...) immediate perceptual justification (call this ‘the phenomenal necessity thesis’). In this paper, I would like to challenge the phenomenal necessity thesis on the basis of a psychopathological condition called ‘derealization disorder’. In particular, I’ll argue that cases of derealization show that phenomenal force isn’t necessary for immediate perceptual justification. (shrink)

Contemporary popular culture is riddled with references to Mexican drug cartels, narcos, and drug trafficking. In the United States, documentary filmmakers, journalists, academics, and politicians have taken note of the increasing threats to our security coming from a subculture that appears to feed on murder and brutality while being fed by a romanticism about power and capital. Carlos Alberto Sánchez uses Mexican narco-culture as a point of departure for thinking about the nature and limits of violence, culture, and personhood. A (...) Sense of Brutality argues that violent cultural modalities, of which narco-culture is but one, call into question our understanding of “violence” as a concept. The reality of narco-violence suggests that “violence” itself is insufficient to capture it, that we need to redeploy and reconceptualize “brutality” as a concept that better captures this reality. Brutality is more than violence, other to cruelty, and distinct from horror and terror—all concepts that are normally used interchangeably with brutality, but which, as the analysis suggests, ought not to be. In narco-culture, the normalization of brutality into everyday life is a condition upon which the absolute erasure or derealization of people is made possible. (shrink)

In light of the recent calls for integrating phenomenology and psychiatry, I will address the problem of heterogeneity in major depressive disorder (MDD) using the phenomenological account of depression put forth by Fernandez (Fernandez, 2014). I will first go over the distinction between two of the major specifiers of major depressive disorder, namely melancholic and atypical depression. Then, I review the account of depression developed by Fernandez, which considers some of the people diagnosed with MDD to have an erosion of (...) the capacity for the category of moods as opposed to a particular kind of mood. I will apply this conception to the diagnostic and statistical manual criteria for melancholic and atypical depression, and consider how reactive and unreactive depressed moods can be clarified using this conception. I argue that we can help our understanding of MDD by viewing melancholic depression as primarily characterized by structural erosion of the person’s situatedness (observed as a lack of mood reactivity) and atypical depression as a state in which the capacity for moods in general has not been eroded (hence, the retention of mood reactivity), with the psychopathology rooted only in the content of experience (the moods themselves). I discuss how this conception related to other phenomenological accounts of depression and why it can be useful in making sense of some clinical observations between the two specifiers, namely the differences in illness severity and symptoms of depersonalization and derealization, before concluding the work by considering its relationship with the operationalized approach of the DSM. (shrink)

This chapter offers an overview of the phenomenological approach to delusions, emphasizing what Karl Jaspers called the "true delusions" of schizophrenia. Phenomenological psychopathology focuses on the experience of delusions and the delusional world. Several features of this approach are surveyed, including emphasis on formal qualities of subjective life and questioning of standard assumptions about delusions as erroneous belief. The altered modalities of world-oriented and self-oriented experience that precede and ground delusions in schizophrenia, especially the experiences of revelation that Klaus Conrad (...) termed the outer and inner apophany, are then discussed. The chapter first considers the famous "delusional mood", then the role of ipseity-disturbance. In both cases it is explained how delusions can develop out of these distinctive alterations of perception and feeling. The classic question of the understandability or comprehensibility of schizophrenic delusion, together with the related issues of wish-fulfillment and rationalizing motives are then considered. The chapter addresses the crucial but neglected issue of the felt reality-status of delusions or the delusional world, discussing derealization, "double bookkeeping", and "double exposure". The chapter concludes by discussing delusions typically found in paranoid and affective psychoses, and monothematic delusions found in certain organic conditions. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:How Narrative Counts in Phenomenological Models of SchizophreniaThe author reports no conflicts of interest.Rosanna Wannberg (2024) offers an intriguing and novel critique of the predominant phenomenological model of schizophrenia, the ipseity disturbance hypothesis. According to this model, which was initially proposed by Sass and Parnas (2003), schizophrenia is best understood as arising from a disturbance or instability of minimal or basic self-hood, the sense of being present to oneself (...) and one's experiences (Henriksen, 2022). This disturbance appears as various experiential anomalies, sometimes termed "anomalous self (or world) experiences" or "self disorders," which include such phenomena as alienation from subjective processes, doubt in the existence of the world or one's own existence, fluidity of boundaries between self and others or self and world, and many other phenomena. Many of these have been captured in the Examination of Anomalous Self Experience (Parnas et al., 2005) and the Examination of Anomalous World Experience (Sass et al., 2017).At the same time, some research reveals the presence of self disorders in nonpsychotic conditions like panic disorder (Madeira et al., 2017) and depersonalization/derealization disorder (Sass et al., 2013). There are also competing phenomenological models that posit schizophrenia instead as a disturbance of dialogical self (Lysaker & Lysaker, 2002) or as a disruption of automatic perceptual processing (Uhlhaas & Mishara, 2007). Such works contain implicit critiques of the ipseity disturbance hypothesis that focus on the specificity of self disorders, or else on the specific nature of the underlying disturbance in schizophrenia.Wannberg's critique is distinct from these others: by considering the validity and function of recovery narratives, she raises crucial epistemological and ethical questions about the phenomenological approach to psychopathology, asking not only whose narrative counts, but how narrative counts. In particular, Wannberg questions a phenomenology that, she suggests, might find any ongoing symptoms as evidence of continued alterations of subjectivity, and that would then be dismissive of recovery narratives—a phenomenology that would prioritize the authority [End Page 71] of consciousness, as Wannberg puts it, over the authority of the person.It is worth stating here that the standard phenomenological response would not be to distrust or dismiss accounts of recovery. Ideally, phenomenological models, along with their ongoing theoretical developments and empirical work, are based on a deep respect for patients' experience and self-descriptions, striving to attend to experiences as they are lived without imposing pre-defined constructs that would limit or alter the experiences in a fundamental way (Nordgaard et al., 2013).Questions about the nature of recovery might be addressed within phenomenology by considering the difference between minimal (or basic) self and narrative (or extended) self, a more complex self-understanding or self-interpretation that is founded on the more basic, pre-reflective sense of being alive in the world (Gallagher, 2000; Parnas, 2007). According to proponents of the ipseity disturbance hypothesis, disturbances of basic self-hood can contribute to disturbances of narrative self, such as confusion about one's future goals or difficulties making sense of one's life history, though it is unlikely for disruptions that originate in the narrative self to trickle down to the minimal self (Henriksen, 2022). Such a view might similarly suggest that it would be unlikely for work on the level of the narrative self to lead to improvements in minimal self. Recovery, according to this approach, might best be viewed as an understanding of and compensation for alterations in basic self-hood, such that a person can develop a relatively solid narrative self that accounts for and manages disturbances of minimal self—while the minimal self may also grow more solid through various therapeutic interventions (Skodlar & Henriksen, 2019).Wannberg finds a more transformative possibility in Wittgenstein's grammatical approach, which is concerned with the function and rules of discourse. According to her grammar of recovery, recovery narratives are not only the product of a process of meaning-making and self-understanding, but they can create meaning and new realities. Furthermore, this process, according to Wannberg, has an inherently social and normative quality to it: the self-work that occurs in recovery and the recovery narrative involves the development of agency, autonomy, and responsibility in a social world... (shrink)

Given remote warfare technology, a diagnosis is often made: modern warfare would lead to a derealization and even a loss of war experience. This paper takes the unease that this diagnosis triggers as its starting point, insofar as it reveals certain attachments to war that have been nurtured throughout modern times. From trenches to drones, the act of lamenting the loss of war experience marks the history of modern warfare. This paper looks at the eminently-modern, active expectations, that haunt (...) this act: the anticipation of an experience heightened by war, linked to the quest for life that is more intense. By following in Walter Benjamin’s footsteps, it seeks to decipher the way in which these expectations are linked to the emergence of new feelings, passions and obsessions that touch on the experience of modernity. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Philosophy, Psychiatry, & Psychology 9.3 (2002) 285-286 [Access article in PDF] Depersonalization and Feelings of Unreality:Significant Symptoms With a Variety of Meanings Kjell Modigh Evaluations and diagnostic procedures in clinical psychiatry depend mainly on how the patient communicates his or her subjective experiences and on the psychiatrist's ability to understand that message. This is critical not only for understanding and offering proper treatment, but also for developing diagnostic classifications. (...) Hence the paper by Radovic and Radovic deals with an important topic, aiming to clarify the variety of meanings of the closely related terms unreality and depersonalization. The latter occurs as a symptom in connection to some psychiatric disorder and also constitutes a separate syndromeI agree with the authors that the rather intense renewing of the diagnostic criteria is seldom balanced by corresponding ambitions to analyze and improve the distinctness of the words for the experiences and symptoms which define the diagnoses.It is indeed a difficult task to demarcate what should be included in the concepts feelings of unreality and depersonalization and even to decide whether they are synonyms or distinguishable. There is at least one clear agreement in the different diagnostic systems: psychotic, delusional experiences are excluded. The border between unreality feelings with largely intact reality-testing ability and psychotic disorders with grossly disturbed reality-testing is, however, not absolute and patients with psychotic disorders may of course experience feelings of unreality or depersonalizationThe authors present a useful scheme by which different meanings of derealization are separated and that also points out the differences between depersonalization and derealization, although they are mutually dependant. Category (a), which come closest to depersonalization, includes experiences related to the self, whereas category (c) refers to impressions that the external world is unreal. Category (b), in their scheme, refers to altered bodily sensations: "the body part of the self" (Are there any body parts of the self? Perhaps all psychoanalysts would not agree).In my view, this scheme is useful and corresponds to clinical realities. Symptoms belonging to category (a) can, for instance, occur in affective disorders of almost psychotic depth, due to a [End Page 285] pathologically changed self-esteem. Symptoms belonging to category (b)—experiences of having moved outside one's own body—mainly belong to the diagnostic category dissociative disorders and can be understood as defense reactions to earlier traumatic experiences. The self escaped from the body during repeated experiences of sexual abuse. The diagnosis of depersonalization disorder consequentlybelongs to the group of dissociative disorders. Conditions where the outer world seems unreal (category [c]) can occur when the amount of internal stimuli is increased beyond what is possible to handle and therefore the capacity to recognize the environment is limited. So is the case in severe panic anxiety. Feelings of unreality as part of grief reactions may also belong, at least partly, to category (c): when dramatic and emotionally unacceptable events occur in the environment. As the authors point out, expressions of unreality feelings during grief more often can be understood as metaphors or existential reflections. In conclusion, categories -(a) and (c) can serve to separate depersonalization experiences with different psychopathologic origin, although they are closely related.As a second step, the authors examine how the terms unreal and feels unreal can be understood. Two interpretations of unreal, "nonexistent" and "artificial," have high psychiatric relevance; a third meaning, relating to "quality," mainly has linguistic connections to the experiences on unreality and depersonalization. The word feels communicates the experience of something that appears unreal although the subject has an intact ability of reality testing.The authors propose an additional interpretation, which they describe as a quasisensory experience. They give the example that dreams with unrealistic contents in some meaning, probably related to their intensity, appear "real." A further connection to dreams is that a situation, when awake, may have dreamlike qualities because of intensity or similarities to fragments of dreams. Events that occur in an unusual sequences, for example, corresponding to ones aims and wishes ("to good to be true") perhaps have similarities to dreamlike experiences. One may... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Philosophy, Psychiatry, & Psychology 10.4 (2003) 369-372 [Access article in PDF] Unity of Agency and Volition:Some Personal Reflections Stephen Weiner The issues of unity of agency, self-as-narrative, and more generally, volition are highly personal to me. Indeed, I would say I have frequently been obsessed with them. I am 52 years old, and date the onset of my psychiatric symptoms—my long-term misery—very specifically: 11:00 pm Pacific Standard Time, August (...) 28, 1965. At almost precisely that time, I started obsessing that I was homosexual and, in fact, turning into a girl. Within days, derealization followed: for instance, the houses in my neighborhood seemed one-dimensional—they seemed as though they were painted, as though I could stick my hand or an object through them. Colors seemed less bright as well—but I hardly had words for all this at the time: it was an overwhelmingly preverbal feeling, but I found some words for it.I was also depressed, and knew I was depressed—that is, I was worried, had trouble sleeping, and had suicidal thoughts and feelings. Within weeks, I asked my parents if I could see a psychiatrist, and I did. I remember asking my psychiatrist if he ever thought about the possibility that everything might be an illusion, and he quoted the refrain from "Row, Row, Row Your Boat": "merrily, merrily, merrily, merrily, life is but a dream." But just asking him produced a chilling feeling that he did not exist and, largely for this reason, I did not mention unreality feelings again to therapists for another 20 years.So, like Dr. Wells' patient Edward, described by James Phillips (2003), I was in trouble; like Edward, I was starting to construct a narrative. I started feeling that I had "to tell my story" at about this time—before then, I had not felt a need to do that. That may be partly because young children take life for granted (at least, I did), and it may be partly because suffering, by its very nature, demands explanation; both reasons were probably operating—certainly, both my parents told me years later that I had seemed emotionally distressed as a child, and my mother told they would have given me Ritalin if it had been available. So, to other people (my parents and my teachers) I was mentally ill in some sense, and I have some pretty clear memories of what I now recognize as depression, especially in the second and third grades; but I did not think of myself as sick and I did not think of myself as suffering—and I did not experience the duality (at least) of selves that I started to experience almost immediately in August 1965.Phillips further points out that the "future Edward" could look back in his narrative, at a later age, and reconstruct his history either as someone with a continuing mental illness, or as someone who had attained a secure, healthy adulthood and saw his experience as adolescent pain in the service of ultimate adult health and integration. I see my story, I am sorry to report, as [End Page 369] one of unremitting basic pain but with the positive dimension that I was able to go on, obtain a good education, work a good deal in my adult life, and father a child. But my narrative—and am I not, as a highly verbal person, almost constrained to think of my life as a narrative?—has been one, as Phillips (following Kleinman) realizes, of suffering. It is, above all else, an illness narrative. I find the approach of J. Melvin Woody (2003)—of privileging performing and performing arts and spatial metaphors over story—less relevant and true to myself, although I see no reason to argue with Mary's preference for such forms. It may be that the temporal discontinuities she has experienced predispose her to see herself in such terms—may, in fact, necessitate doing so. I am not exactly sure why, but it probably has to do with acting, with trying on and performing one role... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Philosophy, Psychiatry, & Psychology 10.4 (2003) 369-372 [Access article in PDF] Unity of Agency and Volition:Some Personal Reflections Stephen Weiner The issues of unity of agency, self-as-narrative, and more generally, volition are highly personal to me. Indeed, I would say I have frequently been obsessed with them. I am 52 years old, and date the onset of my psychiatric symptoms—my long-term misery—very specifically: 11:00 pm Pacific Standard Time, August (...) 28, 1965. At almost precisely that time, I started obsessing that I was homosexual and, in fact, turning into a girl. Within days, derealization followed: for instance, the houses in my neighborhood seemed one-dimensional—they seemed as though they were painted, as though I could stick my hand or an object through them. Colors seemed less bright as well—but I hardly had words for all this at the time: it was an overwhelmingly preverbal feeling, but I found some words for it.I was also depressed, and knew I was depressed—that is, I was worried, had trouble sleeping, and had suicidal thoughts and feelings. Within weeks, I asked my parents if I could see a psychiatrist, and I did. I remember asking my psychiatrist if he ever thought about the possibility that everything might be an illusion, and he quoted the refrain from "Row, Row, Row Your Boat": "merrily, merrily, merrily, merrily, life is but a dream." But just asking him produced a chilling feeling that he did not exist and, largely for this reason, I did not mention unreality feelings again to therapists for another 20 years.So, like Dr. Wells' patient Edward, described by James Phillips (2003), I was in trouble; like Edward, I was starting to construct a narrative. I started feeling that I had "to tell my story" at about this time—before then, I had not felt a need to do that. That may be partly because young children take life for granted (at least, I did), and it may be partly because suffering, by its very nature, demands explanation; both reasons were probably operating—certainly, both my parents told me years later that I had seemed emotionally distressed as a child, and my mother told they would have given me Ritalin if it had been available. So, to other people (my parents and my teachers) I was mentally ill in some sense, and I have some pretty clear memories of what I now recognize as depression, especially in the second and third grades; but I did not think of myself as sick and I did not think of myself as suffering—and I did not experience the duality (at least) of selves that I started to experience almost immediately in August 1965.Phillips further points out that the "future Edward" could look back in his narrative, at a later age, and reconstruct his history either as someone with a continuing mental illness, or as someone who had attained a secure, healthy adulthood and saw his experience as adolescent pain in the service of ultimate adult health and integration. I see my story, I am sorry to report, as [End Page 369] one of unremitting basic pain but with the positive dimension that I was able to go on, obtain a good education, work a good deal in my adult life, and father a child. But my narrative—and am I not, as a highly verbal person, almost constrained to think of my life as a narrative?—has been one, as Phillips (following Kleinman) realizes, of suffering. It is, above all else, an illness narrative. I find the approach of J. Melvin Woody (2003)—of privileging performing and performing arts and spatial metaphors over story—less relevant and true to myself, although I see no reason to argue with Mary's preference for such forms. It may be that the temporal discontinuities she has experienced predispose her to see herself in such terms—may, in fact, necessitate doing so. I am not exactly sure why, but it probably has to do with acting, with trying on and performing one role... (shrink)

The paper recognizes the failure of contemporary non-aesthetic theories of art and aims at recovering the phenomenological notion of derealization – which re-emerges in A. Dantoʼs idea of the ʻbracketting effectʼ of art –, in order to explain art and art-experience. The main point is that art makes us free from the ʻreal worldʼ through an act of derealization that leads to the establishment of possible or fictional worlds different from the one we live in. Artworks are primarly (...) imaginary, unreal objects, due to the fact that they interest us only for its appearance and as appearance. Therefore, art cannot be understood without the frame of a particular kind of experience that we can understand in terms of Kantʼs notion of disinterestedness. This notion is still productive to understand why art has a certain power to free us from the needs of reality, although through art we do have profound views of certain aspects of reality and our life. Some objections against Kantʼs theory of aesthetic disinterestedness are discussed and refused, in order to understand the transcendental significance of the aesthetic theory of art. (shrink)

La critique que Rousseau fait de la représentation politique n’a eu aucun succès chez ceux-là mêmes qui ont pourtant retenu ses concepts majeurs, tels ceux de souveraineté populaire et de volonté générale. La thèse ici défendue est que la volonté générale ne peut, ni en théorie ni en pratique, être représentée sans être totalement dénaturée. Resituée dans la problématique qui lui a donné son sens, et qui mobilise aussi bien Hobbes que Pufendorf, le rejet rousseauiste de la représentation apparaît comme (...) corrélatif de la réduction de la souveraineté à un pur vouloir, déchargé des diverses formes du pouvoir. La volonté générale épurée se manifeste alors comme inaltérable et irréductiblement réelle. À l’inverse, il faudra toute une entreprise de déréalisation de la volonté générale pour que les révolutionnaires d’abord, les publicistes ensuite, justifient le principe de la représentation.— Rousseau’s dismissal of the principle of representation failed to convince even those who heartily adopted his main concepts, such as popular sovereignty or general will. In this paper, I claim that there is no way to adapt the general will to the principle of representation, either theoretically or practically, unless one alters completely its very concept. Seen in the problematic context that gives it its real significance, and which involves Hobbes as well as Pufendorf, Rousseau’s disapproval of representation appears as being related to the reduction of sovereignty to a mere will, deprived of power. The pure general will cannot but be unalterable and irreducibly real. French revolutionaries and publicists would have to undertake an extensive derealization of the general will to make it compatible with representation. (shrink)

The article is an attempt to look at the relationship between the state and the market on the example of the prohibition of trade on Sunday through the prism of the personalistic economy. The article has a metaeconomic character. Its aim is to show that state intervention in the market mechanism in the form of the prohibition of trade on Sunday is not aimed at trade as an economic activity, but is a natural consequence of the community-forming function of the (...) state. In the first part, the author presents a personalistic approach to the state and the market as well as relations between them. In turn, in the second part, he describes the essence of the Sunday dispute in the context of a personalistic approach to the market and shows that state intervention, consisting in protecting Sunday from being limited to the seventh working day, protects it against rationalization and marketization, i.e. its derealization. (shrink)

ABSTRACT The article reconstructs the cosmological notion of world and the theory of the three movements of human existence in Patočka’s thought. The reconstruction explains the essential unity between world and existence. It grounds this unity, firstly, on the structural features which are common both to the movement of the world and the third movement that consummates existence, and, secondly, on the fact that this consummated existence signifies, in an analogous manner, the cosmic significance of heaven and earth. Finally, as (...) a problem in Patočka’s phenomenology, it shows the absence of a cosmological ethics that should consider not only the movement of realization of life, but also the movement of derealization that the cosmos is. (shrink)

Obsessive compulsive disorder is a debilitating psychiatric condition where people become obsessed by remotely possible harm, error, bad luck, and compulsively repeat mental or behavioural rituals to neutralize these possibilities. This tendency to draw inferences on the basis of remote rather than more likely possibilities is termed 'inferential confusion' and can lead to immersion in possible worlds accompanied by feelings of dissociation between: knowing and doing, imagination and reality, and authentic and inauthentic self. These dissociation experiences in OCD may inform (...) us on the relational 'possibilistic' nature of consciousness. In a relational model of consciousness, the boundaries of consciousness are located between the person and the world, and shift according to the 'aboutness' of self-world interaction. A key element of 'aboutness' is projecting into the future to what is 'about to be', so sense of reality is constructed through a consensus about what could be, operationalized as a personal possibility distribution. Experiences such as derealization and depersonalization occur in OCD when there is a clash between personally possible worlds and the person ends up living in simultaneously a possible and an impossible world. Recognizing this confusion may be a key to alleviating dissociative symptoms. (shrink)

Perceptual experience usually comes with “phenomenal force”, a strong sense that it reflects reality as it is. Some philosophers have argued that it is in virtue of possessing phenomenal force that perceptual experiences are able to non‐inferentially justify beliefs. In this article, I introduce an alternative, inferentialist take on the epistemic role of phenomenal force. Drawing on Bayesian modeling in cognitive science, I argue that the sense of reality that accompanies conscious vision can be viewed as epistemically appraisable in light (...) of its rational etiology. (shrink)

Hobbes and Butler both conjure images of an abandoned infant in their respective discussions of vulnerability. Leviathan uses this image to discuss original dominion, or natural maternal right over the child, while for Butler rights discourse produces fantasies of invulnerability that derealize other lives. However, Hobbes’s infant in nature has no rights and can only consent to being nourished. Only when able to nourish itself can it claim rights to transfer through the covenant producing a fantasy of individual invulnerability. Vulnerability (...) in the state of nature and the com- monwealth’s fantasy of invulnerability are together a counter-fantasy to the fantasies of invulnerability of Hobbes’s time, through heaven or eternal glory. In question is whether Butler, in her reimagining of community, is, like Hobbes, producing a fantasy, but a meta-fantasy that community can be taken as fantasy without derealizing the fantastic or that fantasizes an honesty about its being fantasy. (shrink)

In June 2007, Paul Virilio and Sylvère Lotringer met in La Rochelle, France to reconsider the premises they developed twenty-five years before in their frighteningly prescient classic, Pure War. Pure War described the invisible war waged by technology against humanity, and the lack of any real distinction since World War II between war and peace. Speaking with Lotringer in 1982, Virilio noted the "accidents" that inevitably arise with every technological development: from car crashes to nuclear spillage, to the extermination of (...) space and the derealization of time wrought by instant communication. In this new and updated edition, Virilio and Lotringer consider how the omnipresent threat of the "accident"--both military and economic--has escalated. With the fall of the Soviet bloc, the balance of power between East and West based on nuclear deterrence has given way to a more diffuse multi-polar nuclear threat. Moreover, as the speed of communication has increased exponentially, "local" accidents--like the collapse of the Asian markets in the late 1980s--escalate, with the speed of contagion, into global events instantaneously. "Globalization," Virilio argues, is the planet's ultimate accident.Paul Virilio was born in Paris in 1932 to an immigrant Italian family. Trained as an urban planner, he became the director of the École Speciale d'Architecture in the wake of the 1968 rebellion. He has published twenty-five books, including Pure War and The Accident of Art, both with Sylvère Lotringer and published by Semiotext. Sylvère Lotringer, general editor of Semiotext, lives in New York and Baja California. He is the author of Overexposed: Perverting Perversions, 2007) and other books. (shrink)

Dissociative symptoms are notorious for their enigmatic, disparate nature encompassing excessive daydreaming, memory problems, absentmindedness, and impairments and discontinuities in perceptions of the self, identity, and the environment. Recent studies (e.g., Koffel & Watson, 2009) have linked dissociative symptoms to vivid dreaming, nightmares, and objective sleep parameters (e.g., lengthening of REM sleep) for discussion, see (Van der Kloet et al., 2013). Germane to this link between dissociative symptomology and sleep, is the idea that in dissociative individuals, the waking state as (...) compared to REM sleep may be marked by an increase in “fluid” and hyperassociative thinking. Against this background, we invited contributions in the following areas: 1) a progressive and enduring de-differentation of wake and dream states of consciousness eventually results in schizophrenia (Llewellyn, 2011); a lesser degree of de-differentiation may have implications for dissociative symptoms; 2) sleep disturbances are not only linked to dissociation but to memory fragmentation also, further fuelling both dissociation and other manifestations of psychopathology; 3) sleep, memory and psychopathologies have complex interlinkages. Our summary below, relates the contributions to our topic to these areas. The contributing articles also give a comprehensive overview on current directions and challenges in these research fields.First, Soffer-Dudek elucidates why heightened sleep experiences (vivid dreams, nightmares, hypnagogic hallucinations) might be particularly associated with psychopathology. She explains how various psychopathologies may represent de-differentiation of the waking and dreaming states through intrusions of wake-like consciousness into sleep and dream-like cognition into wake. With regard to de-differentiation, she discusses theories of transliminality (‘thin boundaries between consciousness states’) and dissociation as potential mechanisms. Lucid dreaming is a hybrid state where wake-like cognition suffuses REM sleep/dreaming (Voss et al. 2009). Mota and colleagues compared the spontaneous occurrence of lucid dreaming in patients with psychotic symptoms (25 with schizophrenia and 20 with bipolar disorder) and 28 non-psychotic subjects. They found lucid dreaming was associated with psychosis- giving some support to the hypothesis of a link between state de-differentiation and psychopathology. In a methodological note, Ribeiro et al, having studied the prevalence of lucid dreaming using two questionnaires, show that the type of methodology used in lucid dreaming studies may have an effect upon their findings. Poerio et al state that both research and theory points to dissociation being engendered by the intrusion of dream-like mentation into waking consciousness. To extend this idea they examine the role of sleep and daydreaming as potentiating states for subsequent dissociation in depersonalization/derealization disorder (DDD). They show the occurrence and content of daydreams may act as potentiating states for heightened, in the moment, dissociation. Sleep paralysis is a dissociated state where a heightened level of wake-like alertness coexists with muscle atonia. Rodrigez de Sa and Mota-Rolim take a broad interdisciplinary perspective on sleep paralysis through reviewing its occurrence in Brazilian folklore by exploring the “Pisadeira” with a sleep science approach and link this with the field of history and art.There is now substantial evidence that active memory processing continues during sleep (see, for example, Rasch and Born (2013)) and dreaming may be involved (Llewellyn, 2013). De-differentiation of the wake, sleep and dream states would disrupt this memory processing fuelling dissociation and other psychopathologies. Horton presents an overview of discontinuity of consciousness in both wake and sleep, focusing on the processes of sleep-dependent memory consolidation and fragmentation. Nakagawa et al focus specifically on working memory and the relation with sleep. With their article, they are the first to investigate differences between verbal working memory (VWM) and visuospatial working memory (VSWM) related to daytime nap duration, nap frequency, and dream content recall frequency (DCRF). They discuss sex-related differences in the effects of sleep habits on VMW and VSWM and ascribe this to differences in underlying neural correlates, and effectiveness of sleep habits in males and females. Rosales-Lagarde and colleagues related to emotional memory by designing an extended International Affective Picture System (IAPS) instrument to measure bizarreness and show some interesting age and gender disparities. Finally, several authors took a developmental approach through focusing on sleep, memory and psychopathology in adolescents. Wang and colleagues show the relation between children and adolescents’ mental health and sleep problems in a 10-year longitudinal trial, and find anxiety, depression, attention problems and aggressive behaviour during childhood to be important predictors for later sleep problems. Importantly, sleep problems are also predictive of behavioural difficulties later in life. Nader, Murkar, and Smith investigated changes in sleep in adolescents between 12 and 19 years old following procedural task training and found that contrary to earlier work, there were no changes in sleep spindle density. Interestingly, participants who successfully learned the task showed no changes in their sleep stage proportions, but participants who were not successful showed a decrease in the proportion of Stage 2 and increases in both SWS and REM sleep, which is in line with the two stage model of sleep and memory by Smith et al. (2004).The self and the world during dreaming differ. The perceived world during waking depends on making sense of external sensory input, which engenders a strong sense of external reality in which the ‘self and its inner-world’ exists. Self-organizing during waking and dreaming enables integration of the self and the world in both states. It is noteworthy, that within this research topic so many novel themes have emerged and new questions and speculations have been posed with regards to relations among unusual sleep experiences – specifically lucid dreaming -, dissociation, psychosis, and memory. It brings together a richness of research by combining fields that originally have worked in isolation from each other. (shrink)

The metamorphosis of human beings into wolves is well known in mythology, legend, and scripture, and has been extensively surveyed in history, theology, and literature. Werewolf cases have attracted the attention of both ancient and modern physicians, particularly during the development of modern psychiatry and behavioral neurology. Some writers have suggested that lycanthropes suffered from schizophrenia or had intentionally or involuntarily ingested hallucinogens. Hysteria and affective disorder, either mania or intense depression, could also be invoked as causes. Lycanthropy has often (...) been linked with, and sometimes treated by, henbane and nightshade, and its manifestations could be explained in terms of atropinic delirium. Discoloration of teeth and urine, bizarre behavior, nocturnal wandering, and episodic skin and facial changes have suggested a role for porphyria in the werewolf transformation. Through many historical periods and cultures, persons believed to be werewolves have reportedly exhibited alterations in consciousness, depersonalization and derealization, acute anxiety and agitation, preoccupation with demonic possession, and compulsive or perseverative behavior, sometimes of a violent, sexually deviant or impulsive nature. Such features of werewolf behavior might also be explained by ictal and interictal manifestations of complex partial seizures, or as symptoms of the episodic dyscontrol syndrome associated with frontal lobe or limbic system disease or injury. Lycanthropy was often considered a manifestation of demonic possession or a consequence or indication of participation in necromancy. As such, self-proclaimed or suspected werewolves were often persecuted along with other practitioners of the black arts. It is generally believed that such persecution represented the last efflorescence of medieval demonology, but it has also been suggested that clinical description of illnesses of diabolical origin was part of the evolution of Renaissance medicine from the Galenic past toward the scientifically-based future. (shrink)

Through the twofold meaning of nature for man-rhythmically-of which he is a part and from which he is apart, the situations of psychosis and of ageing "cross over." In both are manifested the imperious sway of that nature of which we are a part: in the earlier half of life-largely-as psychosis, in the latter half of life through ageing. It is in the midst of the life-span, with the transition from predominant instinctuality to awareness of its recession, that psychosis and (...) ageing are disclosed as complementary perspectives, the vanishing point of the former toward the bodily birth of the individual, that of the latter toward the death of the individual body. Together they intimate the possibility of an individuality which can encompass the human meanings of both. In psychosis and ageing alike, the sway of that nature of which we are a part is coupled with a heightened awareness of our own nature as apart, in the former instance passively, with an accent on one's helplessness as mechanical mind, in the latter with the realization of one's own active part over and apart from the body. In psychosis the self is overwhelmed by that nature of which its body is a part as the latter's complexion is mediated by the world. In ageing the presence of the self stands out more clearly from the ebbing instinctuality with which it was earlier alloyed. To the negative defusion of instinctuality and individuality in psychosis corresponds the possibility of a positive separation in ageing. If in psychosis, "uprightness" , "eccentricity" , "being in the world over and beyond the world" , has been early flawed, ageing enables individuality to emerge in relief from the detritus of imperfect projects. "When gods die they become men, when men die they become gods." . While bodily membership in nature pervades emerging individuality in the first half of life, self-assumption of responsibility emerges with the discovery of ebbing instinctuality in the middle of life. The body as a hinge between nature of which we are a part and nature from which we are apart, and whose ambiguity is rhythmically reflective of the world and of self, now becomes apparent. With this the possibility of a "depth psychology" is reached, that is, a reopening of the archives of one's history for a commemorative rereading . This moment of discovery, traditionally conveyed in the analogical imagery of late summer and the Mediterranean experience of noon and afternoon, recurs throughout the opus of Freud, from his "Gradiva" essay , through "The Uncanny" to his "A Disturbance of Memory on the Acropolis" , with undertones both of psychotic derealization and of the purifying ordeal of ageing. (shrink)

According to a common philosophical intuition, the deep nature of things is hidden from us, and the world as we know it through perception and science is, just like a dream, shadows, or a computer simulation, somehow shallow and lacking in reality. This “intuition of unreality” clashes with a strong, but perhaps more naive, intuition to the effect that the world as we know it seems perfectly real. Shadows, dreams, or informational structures appear too unreal to be identical to the (...) world as we know it! This clash between the two intuitions forms the basis of the “problem of reality.” In the late nineteenth century psychiatrists encountered patients they referred to as “metaphysician doubters” who constantly questioned the reality of the world. This essay draws on studies of these patients in order to reject, and indeed diagnose, the intuition of unreality and recent metaphysical doctrines drawing on it, such as structuralism, digitalism, and virtual realism. (shrink)

According to a common philosophical intuition, the deep nature of things is hidden from us, and the world as we know it through perception and science is somehow shallow and lacking in reality. For all we knwo, the intuition goes, we could be living in a cave facing shadows, in a dream or even in a computer simulation, This “intuition of unreality” clashes with a strong, but perhaps more naive, intuition to the effect that the world as we know it (...) seems perfectly real. Shadows, dreams, or informational structures appear too unreal to be identical to the world as we know it! This clash between the two intuitions forms the basis of the "problem of reality." At the turn of the nineteenth century psychiatrists encountered patients they referred to as “metaphysician doubters” who constantly questioned the reality of the world. This essay draws on the study of these patients to reject, and indeed diagnose, the intuition of unreality and recent metaphysical doctrines drawing on it, such as structuralism, digitalism, and virtual realism. (shrink)

If I see, hear, or touch a sparrow, the sparrow seems real to me. Unlike Bigfoot or Santa Claus, it seems to exist; I will therefore judge that it does indeed exist. The “sense of existence” refers to the kind of awareness that typically grounds such ordinary judgments of existence or “reality.” The sense of existence has been invoked by Humeans, Kantians, Ideologists, and the phenomenological tradition to make substantial philosophical claims. However, it is extremely controversial; its very existence has (...) been called into question. This paper aims to clarify the nature and reality of the sense of existence by studying a psychiatric condition in which the sense appears to be disrupted: depersonalization disorder (DPD). (shrink)