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Real HallucinationsPsychiatric Illness, Intentionality, and the Interpersonal World$
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Matthew Ratcliffe

Print publication date: 2017

Print ISBN-13: 9780262036719

Published to MIT Press Scholarship Online: May 2018

DOI: 10.7551/mitpress/9780262036719.001.0001

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Thought Insertion Clarified

Thought Insertion Clarified

Chapter:
(p.43) 3 Thought Insertion Clarified
Source:
Real Hallucinations
Author(s):

Matthew Ratcliffe

Publisher:
The MIT Press
DOI:10.7551/mitpress/9780262036719.003.0003

This chapter begins by considering the possibility that a number of factors contribute to the sense of being in an intentional state, and that these can come into conflict. The remainder of the chapter argues that thought insertion (TI) and certain kinds of auditory verbal hallucination (AVH) are to be understood in this way. There is a difference between experiencing a process of thinking as alien and experiencing thought content as alien. It is argued that TI involves the latter. Hence it could just as well be described as experiencing one’s own thought contents in a strange, perception-like way. To further support this interpretation, the chapter considers AVHs and shows that a substantial proportion of experiences that are described in AVH terms can equally be conveyed in terms of TI. What we have is an anomalous experience that lies somewhere between thinking and perceiving. The content of the experience continues to resemble that of a thought. Even so, a sense of perceiving predominates. The chapter concludes by arguing that it is unhelpful to conceive of AVH / TI in terms of a distinction between agency and subjectivity or ownership.

Keywords:   auditory verbal hallucination, double-bookkeeping, delusion, presence, thought insertion, sense of agency, sense of ownership, sense of perceiving

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