Normativismo, naturalismo y lo patológico del delirio
DOI:
https://doi.org/10.22370/sst.2025.10.4897Palabras clave:
Delirio, Normativismo, Naturalismo, Patología, EnfermedadResumen
Comúnmente, el delirio es caracterizado como un estado mental patológico, una señal de que algo no anda bien en la mente. Sin embargo, existe un debate en la filosofía de la ciencia respecto de qué es lo que haría exactamente a un delirio patológico, sobre todo, en virtud de que sus expresiones paradigmáticas se observan en condiciones psiquiátricas de alta complejidad tales como la esquizofrenia y la depresión mayor. Este capítulo revisa dos alternativas a este problema, esto es, el normativismo y el naturalismo. Luego de analizar sus principales propuestas y respectivas debilidades, se concluye que ninguna de ellas por sí solo ofrece una alternativa lo suficientemente fuerte. Se concluye que las posiciones que combinan ambos enfoques podrían ser una opción plausible en el marco del debate en cuestión y se analiza como éste asunto podría aplicarse al caso del delirio.
Citas
Agich, G. J. (1983). Disease and value: A rejection of the valueneutrality thesis. Theoretical Medicine, 4, pp. 27–41.
Aftab, A. (2016). Mental Disorders and Naturalism. American Journal of Psychiatry Residents’ Journal, 11, pp. 10-12. https://doi.org/10.1176/appi.ajp-rj.2016.110304.
Amoretti, C. & Lalumera, E. (2022). Wherein is the concept of disease normative? From weak normative to value-conscious naturalism. Medicine, Health Care and Philosophy, 25 pp. 47–60.
American Psychiatric Association [APA]. (2024). Diagnostic and statistical manual of mental disorders, 5th ed. (DSMV-TR). Washington, DC: American Psychiatric Publishing. https://doi.org/10.1176/appi.books.9780890425596.
Bayne, T. & Pacherie, E. (2004). Bottom-up or Top-down. Campbell’s rationalist account of monothematic delusions. Philosophy, Psychiatry, & Psychology, 11(1) , pp. 1-11.
Bayne, T. & Pacherie, E. (2005). In defence of the doxastic conception of delusion, Mind & Language, 20 (2), pp. 163–188.
Beer, M. D. (1996). Psychosis: A history of the concept. Comprehensive Psychiatry, 37(4), pp. 273–291. https://doi.org/10.1016/S0010-440X(96)90007-3.
Berrios, G. E. (1991). Delusions as “wrong beliefs”: A conceptual history. The British Journal of Psychiatry, 159(14) , pp. 6–13.
Bortolotti, L. (2010). Delusions and other irrational beliefs. Oxford University Press.
Bortolotti, L. (2015). The epistemic innocence of motivated delusions. Consciousness and Cognition, 33 pp. 490–499. https://doi.org/10.1016/j.concog.2014.10.005.
Bortolotti, L. (2020). The epistemic innoncence of irrational beliefs. Oxford: OUP. https://doi.org/10.1093/oso/9780198863984.001.0001.
Bortolotti, L. (2022). Are delusions pathological beliefs?. Asian Journal of Philosophy. https://doi.org/10.1007/s44204-022-00033-3.
Bortolotti, L. (2023). Why delusions matter. London: Bloomsbury. https://doi.org/10.5040/9781350163331.
Bortolotti, L. & Miyazono, K. (2015). Recent work on the nature and development of delusions. Philosophy Compass, 10(9), pp. 636-645.
Boorse, C. (1977). Health as a theoretical concept. Philosophy of Science, 44 , pp. 542–573.
Boorse, C. (2014). A second rebuttal on health. Journal of Medicine and Philosophy, 39(6) , pp. 683-724. https://doi.org/10.1093/jmp/jhu035.
Butler, P. (2000). Reverse Othello Syndrome Subsequent to Traumatic Brain Injury, Psychiatry, 63:1 , pp. 85-92. https://doi.org/10.1080/00332747.2000.11024897.
Coltheart, M., Langdon, R., & McKay, R. (2011). Delusional belief. Annual review of psychology, 62, pp. 271–298. https://doi.org/10.1146/annurev.psych.121208.131622.
Corlett, P., et al. (2007). Disrupted Prediction-error Signal in Psychosis: Evidence for an Associative Account of Delusions. Brain, 130, pp. 2387–400.
Cooper, R. (2002). Disease. Studies in History and Philosophy of Science Part c: Studies in History and Philosophy of Biological and Biomedical Sciences, 33(2), pp. 263–282.
Davies M., Coltheart M., Langdon R., & Breen N. (2001). Monothematic delusions: towards a two-factor account. Philosophy, Psychiatry, & Psychology, 8(2), pp. 133-58.
Ereshefsky, M. (2009). Defining Health and Disease. Studies in History and Philosophy of Biological and Biomedical Sciences, 40, pp. 221–227.
Faucher, L., & Forest, D. (Eds.). (2021). Defining mental disorder: Jerome Wakefield and his critics. The MIT Press. https://doi.org/10.7551/mitpress/9949.001.0001.
Fuchs, T. (2015). Pathologies of Intersubjectivity in autism and schizophrenia. Journal of Consciousness Studies, 22, p. 191.
Henriksen, M. G., & Nilsson, L. S. (2017). Intersubjectivity and psychopathology in the schizophrenia spectrum: complicated ‘we’, compensatory strategies, and self-disorders. Psychopathology, 50 pp. 321–333. https://doi.org/10.1159/000479702.
Jaspers, K. (1963). General Psychopathology (7th ed.). Manchester: Manchester University Press.
Kendell, R. (1975). The concept of disease and its implications for psychiatry. British Journal of Psychiatry, 127 pp. 305–15.
Kingma, E. (2013). Naturalist accounts of mental disorder, in The Oxford Handbook of Philosophy and Psychiatry. Edited by Fulford
KWM, Davies M, Gipps R, Graham G, Sadler JZ, Stanghellini G, Thornton T. Oxford, United Kingdom, Oxford University Press, pp 363–384.
Kingma, E. (2007). What is it to be healthy? Analysis, 67 , pp. 128–133.
Kingma, E. (2017). Disease as Scientific and as Value-Laden Concept. In: Schramme, T., Edwards, S. (eds) Handbook of the Philosophy of Medicine. Springer, Dordrecht. https://doi.org/10.1007/978-94-017-8688-1 75.
Lancellotta, E., & Bortolotti, L. (2019). Are clinical delusions adaptive? Wiley Interdisciplinary Reviews: Cognitive Science, 10(5), Article e1502. https://doi.org/10.1002/wcs.1502.
López-Silva, P. (2024). Thinking in Schizophrenia and the Social Phenomenology of Thought Insertion. Philosophical Psychology, https://doi.org/10.1080/09515089.2024.2334720.
López-Silva, P. & McClelland, T. (2023). Intruders in the Mind: Interdisciplinary Perspectives on Thought Insertion. Oxford: Oxford University Press.
López-Silva, P. (2023a). Creencias e Imaginaciones: Examinando el Problema Etiológico de los Delirios. Pensamiento: Revista de Investigación e Información Filosófica, 302, pp. 274-286.
López-Silva, P. (2023b). La etiología de los delirios psicóticos en la neuropsiquiatra actual. Revista Ciencias de la Salud, 21(2), pp. 1-16.
López-Silva, P. (2023c). Minimal Biological Adaptiveness and the Phenomenology of Delusions in Schizophrenia. In A. Falcato & J. Goncales (eds). The Philosophy and Psychology of Delusions. London: Routledge.
López-Silva, P., Núñez de Prado-Gordillo, M. & Fernández, V. (2023). What are delusions? Examining the typology problem. WIRES Cognitive Sciences, Online first, https://doi.org/10.1002/wcs.1674.
McKay, R., Langdon, R., & Coltheart, M. (2005). “Sleights of mind”: Delusions, defences, and self-deception. Cognitive Neuropsychiatry, 10(4), pp. 305–326. https://doi.org/10.1080/13546800444000074.
Miyazono, K. (2015). Delusions as harmful malfunctioning beliefs. Consciousness and cognition, 33, pp. 561-573. https://doi.org/10.1016/j.concog.2014.10.008.
Miyazono, K. (2019). Delusions and beliefs: A philosophical inquiry. Routledge.
Miyazono, K. (2022). Replies to critics. Asian Journal of Philosophy, 1(2). https://doi.org/10.1007/s44204-022-00048-w.
Wakefield, J.C. (1992a). The concept of mental disorder. On the boundary between biological facts and social values. American Psychologist, 47, pp. 373–388.
Wakefield, J.C. (1992b). The concept of mental disorder: diagnostic implications of the harmful dysfunction analysis. World Psychiatry, 6(3), pp. 149-156. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2174594/.
Wachbroit, R. (1994). Normality as a biological concept. Philosophy of Science, 61, pp. 579–591.
Woolfolk, R. (2001). The Concept of Mental Illness: An Analysis of Four Pivotal Issues. The Journal of Mind and Behavior, 22(2), pp. 161-178.
Descargas
Publicado
Cómo citar
Número
Sección
Licencia

Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-SinDerivadas 4.0.