Keith Frankish If psychotic patients did not tell us, would we guess what their delusions were? We might see that a patient was depressed, withdrawn, self-neglecting, and so on, but would it occur to us that they thought they were dead , as Cotard patients do? It is doubtful. Deluded patients are firmly attached to their delusions, but the attachment manifests itself most clearly at the verbal level, in what they say and how they argue, and may not show up clearly in their nonverbal behaviour. Most Cotard patients do not (as one early case did) arrange their own funeral. Why is this? The answer, I think, is that delusion is an attitude closely bound up with language -- an attitude sometimes called ‘acceptance’. To accept a proposition, in this sense, is to commit oneself to arguing for it, defending it, using in reasoning, and acting upon it. This is the attitude a scientist takes to a hypothesis, a lawyer to the claim that their client is innocent, a politician to a policy. It ...
A blog at the intersection of philosophy, psychology, and mental health