People suffering from severe monothematic delusions, such as Capgras, Fregoli or Cotard patients, regularly assert extraordinary and unlikely things. For example, some say that their loved ones have been replaced by impostors. A popular view in philosophy and cognitive science is that such monothematic delusions aren't beliefs because they don't guide behavior and affect in the way that beliefs do. Or, if they are beliefs, they are somehow anomalous, atypical, or marginal beliefs. We present evidence from five studies that folk psychology unambiguously views monothematic delusions as stereotypical beliefs. This calls into question widespread assumptions in the professional literature about belief's stereotypical functional profile. We also show that folk psychology views delusional patients as holding contradictory beliefs. And we also show that frequent assertion is a powerful cue to belief-ascription, more powerful than even a robust and consistent track record of non-verbal behavior.Keywords: delusion, belief, folk psychology, assertion * This is a penultimate version of a paper (4/5/14) forthcoming in the Australasian Journal of Philosophy.Please cite the final, published version if possible. 2
A Question of Attitude: Are Delusions Beliefs?In their work on clinical subjects, Hirstein and Ramachandran [1997] present the case of a patient named DS. DS was a middle-aged man who suffered a traumatic brain injury in a gruesome traffic accident. In the year following his injury he began what appeared to be a remarkable and speedy recovery. DS regained his powers of speech, intelligence, as well as nearly all his cognitive and social skills. However there was something very strange about DS after his accident. He would regularly tell his doctors, family, and friends that his parents had been replaced by imposters.DS was later diagnosed with a condition called Capgras Syndrome, a rare neurological disorder where patients suffer the delusion that someone close to them -such as a loved one, family member, or friend -has been replaced by a duplicate or imposter. Typical of Capgras patients, when others confront DS with putative evidence that his parents are not actually imposters, his assertions to the contrary persist. Note well that even those who defend the view that delusions are (at least partly) beliefs agree that these attitudes "deviate" from "the causal-functional patterns in behavior and cognition characteristic of belief," in which case "the assumptions inherent in the practice of belief ascription start to break down." We're then left with a choice: "either abandon belief talk or allow for some indeterminacy in it" [Schwitzgebel 2011: 16].We question the widespread assumption that delusional attitudes, such as DS's, are not Before presenting our studies, we want to dispel any appearance that our thesis is somehow radical or revisionary and, thus, that we bear an especially demanding burden of proof.We think that belief is the natural first candidate for categorizing delusions. In fact, clinical psychologis...