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Over the past three decades, catatonia research has experienced a remarkable renaissance, driven by the application of diverse methodologies and conceptual frameworks. This renewed interest has significantly reshaped our understanding of catatonia, a complex syndrome with multifactorial origins spanning epidemiology, historical context, phenomenology, genetics, immunology, and neurobiology. These advancements have offered a more comprehensive and nuanced perspective, culminating in the recognition of catatonia as a distinct diagnosis in the ICD-11 – a landmark development that underscores its clinical and scientific relevance. Despite these strides, several unresolved issues remain that require future research. Bridging these gaps is crucial not only to enhance our understanding of catatonia but also to identify the most effective treatments and uncover the mechanisms underlying their efficacy. Such advancements hold the promise of developing improved diagnostic markers and tailored therapeutic strategies, offering significant benefits to patients affected by this challenging condition. In this chapter, we explore the profound implications of catatonia research, spanning its impact on clinical psychiatry and neuroscience, as well as its broader contributions to our understanding of the intricate relationship between the brain and mind.
This chapter explores Marcus’ concept of the soul and its main cognitive parts (hēgemonikon, nous, dianoia, daimon) and their relevance for the construction of a concept of the self that is closely interwoven with Stoic self-care. It also investigates Platonic influence on Marcus’ concept of the mind and its relation with the body. Selfhood, understood as an entity referring to itself, unfolds around the hēgemonikon and, to a lesser extent, the dianoia. Self-reference by cognitive acts is limited to the logical soul. These three rational elements are subordinated to the ‘I’ (or psychagogic subject) and serve as objects of its psychagogic self-(trans)formation, thereby construing its selfhood. The perfect starting point for mental self-transformation in Marcus is hypolēpsis ‘assumption’, a single mental act, similar to Epictetus’ prohairesis ‘choice’, to which Marcus’ concept of mental selfhood is heavily indebted. Platonising rhetoric supports the delineation and detachment of the soul’s rational part (esp. nous) from external entities and subordinate mental phenomena but offers no evidence for a dualist psychology or metaphysical concept of the mind. Instead, Marcus’ concepts of mind and body abide by Stoic orthodoxy and its materialist monism.
Charles Brockden Brown’s Edgar Huntly (1799) narrates two scenes of panther attacks. In the first scene, Huntly’s mind is paralyzed, while in the second, Huntly’s body kills a stalking panther by hurling a tomahawk across a dark cave, an effort stemming from our bodily “constitution.” This introduction argues that this artist not only troubled the mind-centered ontology of consciousness—the Cartesian idea of the mind’s dominance over the body—but also explored the ontological alternatives that centered the expressions of our material body’s “constitution.” It both uncovers the posthumanist accents of this work, and reveals the way it prods us to refurbish posthumanism by historicizing it. Starting with Brown, this introduction thus recovers a set of texts focused on “minding the body,” on not simply eroding the philosophical distinction between the mind and body in order to trouble a mind-centered ontology and imagine a body-centered alternative to it, as posthumanism does. It also reveals the way artists used the expressive agency of these historical bodies to imagine less repressive alternatives to nineteenth-century structures of power—including chattel slavery, market capitalism, and patriarchy—whose claims to dominance involved reducing the body to little more than mindless matter.
As the providers of care work, women experienced the painful losses of male bodies during the Civil War acutely. This chapter explores the way Elizabeth Stuart Phelps used her works—particularly her successful sentimental novel, The Gates Ajar (1868)—to imagine faith as a way to manage this pain. Yet, Phelps’s popularity stemmed from the way her notion of faith also complicated the orthodox Calvinist belief in a disembodied spirit: an ontology premised on the soul’s difference from, and superiority to, the body. By developing what Phelps calls “spiritual materialism,” she puts the lived experience of embodiment at the very center of belief, not drifting or working between mind-centered and body-centered paradigms, as we have seen, but operating beyond them both at the level of faith. Precisely the way this re-embodied faith moves beyond mind-centered and body-centered ontologies allows Phelps’s sentimental novel itself to move beyond the restrictive gender politics of sentimentalism, “minding the body” to tell a less repressive story of domesticity and reveal a more capacious understanding of female desire.
Henry Box Brown not only mailed himself in a box from Richmond in Philadelphia in 1849, but he also remediated this experience of embodiment later in competing slave narratives, on stage, in a panorama, and through his role as a magician and mesmerist. In these four “acts,” Brown uses the representation of his experiences of Black embodiment across various media both to support and—simultaneously—to undercut the mind-centered ontology that structured the system of chattel slavery’s reduction of Blackness to mindless matter. Rather than imagine ontological drift, as Bird does, or ontological betweenness, like Forrest, Brown uses different representations of Black embodiment to imagine existence as always already ontologically doubled, as something governed by the mind-centered paradigm that demeans the body, and by the body-centered paradigm that makes the material body’s expressive agency crucial for the fullest articulation of humanity. Brown suggests that consciousness emerges simultaneously from the mind and the body, and that by carefully curating these overlapping, and doubled, forms of consciousness, Black subjects can “mind the body” in order to imagine alternatives to white culture’s dehumanizing of Blackness.
In his intensely physical acting, the nineteenth-century actor, Edwin Forrest, crafted a working-class theatrical aesthetic that imagined our existence not as drifting, but as ontologically between, an ontological third term distinct from both the mind-centered and the body-centered ontological paradigms. By recovering the way Forrest staged his own muscular—and white—body in his interpretation of Shakespeare’s Othello (1826) and in Bird’s The Gladiator (1831), this chapter argues that Forrest used the experience of his labored at, and laboring, body to perform this ontological betweenness as an alternative to the antebellum market’s alienation and regulation of working-class bodies. In staging the agency of white, working-class bodies against Black inagentic bodies on stage, Forrest’s performance of ontological betweenness “minded the body” by offering his adoring working-class audiences less alienated—but racially complicated—ways to perform their own material embodiment in the early nineteenth century.
This chapter explores the medically-trained writer, Robert Montgomery Bird, and his fraught experience of the way the competing ontological paradigms that inflected Edgar Huntly also conditioned early nineteenth-century medical discourse. Bird uses his picaresque novel, Sheppard Lee (1836), to interrogate what was called “regular” medical discourse and its mind-centered ontology, and to imagine instead the ontological possibilities that result from the body-centered ontology of metempsychosis. For Bird, metempsychosis involves our consciousness migrating from one body to another, and being defined by its different embodiment. In representing the lived experience of both white and Black embodiment, Bird uses metempsychosis to interrogate “regular” medicine’s mind-centered ontological paradigm, even as he puts pressure on “irregular” medicine as well. As I argue, Bird understands conscious existence as ontological drift, as I call it, a far less clear, but far more capacious ontology than either regular or irregular medical discourses entertain. By “minding the body” in this way, Bird uses his novel’s interrogation of the mind-body relationship to imagine a less repressive, but not unproblematic, form of racialized conscious existence in the antebellum period.
One of life’s most fundamental revelations is change. Presenting the fascinating view that pattern is the manifestation of change, this unique book explores the science, mathematics, and philosophy of change and the ways in which they have come to inform our understanding of the world. Through discussions on chance and determinism, symmetry and invariance, information and entropy, quantum theory and paradox, the authors trace the history of science and bridge the gaps between mathematical, physical, and philosophical perspectives. Change as a foundational concept is deeply rooted in ancient Chinese thought, and this perspective is integrated into the narrative throughout, providing philosophical counterpoints to customary Western thought. Ultimately, this is a book about ideas. Intended for a wide audience, not so much as a book of answers, but rather an introduction to new ways of viewing the world.
This book recovers an important set of American literary texts from the turn of the nineteenth century to the Civil War that focus on bodies that seem to have minds of their own. Artists such as Charles Brockden Brown, Robert Montgomery Bird, Edwin Forrest, Henry Box Brown, Elizabeth Stuart Phelps, and Herman Melville represented the evocative expressiveness of these literary bodies. With twitches and roars, flushes and blushes, these lively literary bodies shaped the development of American Literature even as they challenged the structures of chattel slavery, market capitalism, and the patriarchy. Situated within its historical context, this new story of nineteenth-century American Literature thus reveals how American literary expression-from novels to melodramas, from panoramas to magic tricks-represented less repressive, more capacious possibilities of conscious existence, and new forms of the human for those dehumanized in the nineteenth century.
Abstract: By 2001, two years after approval, the new MassGeneral Institute for Neurodegenerative Disease (MIND) building was designed, built and opened. About 30 independent faculty laboratory heads occupied the laboratory floors. Each lab head had 5–15 people in their lab and in total about 300 people worked on the two main floors. Anne’s lab and office moved to MIND. Early on, she was still very depressed about Jack’s death and needed help to continue her research. Without Jack, Anne didn’t have enthusiasm or ambition. Zane Hollingsworth and Anne’s previous trainees, Jang-Ho Cha and David Standaert, helped Anne with her students, postdocs, technicians and grants. Anne was elected president of the American Neurological Association and then president of the Society for Neuroscience. Six years after Jack died, Anne received an email from her old eighth-grade and sometimes high school boyfriend, Stetson Ames. He was coming to Boston in May and asked Anne if she would like to meet. She and Stets eventually married. Anne inherited $2 million when her mother died, a million of which she donated to Mass General. Nancy Wexler began showing signs of Huntington’s disease. It was undeniable, but neither Anne nor Nancy could face the devastating possibility.
Ludwig Wittgenstein’s later philosophy has been hugely influential but can be difficult to understand. He has a radical approach to philosophy. Most philosophers think that questions such as ‘How can I know there is an external world?’ or ‘How is my private inner world of thought and experience related to my body?’ raise genuine puzzles requiring solutions. Wittgenstein, on the other hand, takes such questions to result from linguistic confusion and a scientistic approach to philosophy. Such questions require, not answers, but conceptual elucidation. This article introduces Wittgenstein’s later philosophy.
Doppelgänger is a term drawn from the writing of Jean Paul Richter in his novel Siebenkäs. This term is examined and discussed in this chapter. It stands for the possibility of the existence of a double of a living person and therefore raises questions about the nature of the self and of mind too. The concepts of self and mind are explored and the implications for philosophy of mind are examined. The importance of attending to the empirical literature rather than using thought experiments is emphasized.
The beginning of the third millennium, starting in the early noughties and increasing in strength throughout the 2010s, has seen a large shift in theoretical focus in the mind sciences. In what might be called the predictive revolution or the predictive turn, many researchers in the psychological and brain sciences have come to consider the human mind a ‘predictive engine’ or ‘prediction machine.’ Like its predecessor, the cognitive revolution, more than half a century before, the predictive revolution is grand in ambition. It tries to explain all mental processes within one common framework. In this unified theory, the functioning of the mind is no longer best explained as an information processor: Minds have become prediction systems. The predictive revolution promises to reconcile cognition and behavior as the intrinsically connected two sides of the same coin serving human interactions with the environment.
This essay argues that suffering in persons with dementia is more than a matter of personal experience. It is knowable by others and does not need to rely on the reports of the patient to affirm it. It is even possible for a person to claim not to be suffering—“I’m doing fine”—but for others to conclude to the contrary—“You are suffering.” A key property of this objective account is the caregiver observes the suffering. This observation is a product of the work of caregiving and this work relies on perceiving and supporting the mind of the person living with dementia. When that work of mind support is successful, it creates a feeling of being at home. When it is not, suffering ensues.
Wittgenstein’s Private Language Argument is one of the most famous arguments in philosophy. It is a surprisingly tricky argument to understand. Some philosophers think it’s a good argument. Others disagree. In fact they even disagree about what the argument actually is. This short essay gives three different interpretations of the argument and explains why I believe none succeed.
This chapter addresses the repeated appearances of the sublime in Clare’s verse – including his deployment of the word itself – as well as the ambivalent relationship Clare’s understanding and practice of the sublime has to eighteenth-century and Romantic aesthetic discourse. This entails consideration of major theorizations of the sublime in the period prior to Clare and the reception in the English tradition of classical conceptions of literary sublimity or ‘grandeur’. The example of Milton is significant here, as is the genre of epic and Clare’s apparent aversion to it. A number of examples from Clare’s poetry and prose are considered in detail. The chapter concludes with a reading of Clare’s famous ‘I am’ poems, suggesting that they do in fact continue the tradition of Milton’s Satan, his resistance to oppression, and ambivalent insistence on the power of the mind.
For centuries so called 'difficult women' have been labelled as 'hysterical' and 'out of their minds'. Today they wait longer for health diagnoses, often being told it's 'all in their heads'. Although healthcare systems are overburdened, why are women the first to feel the effects of this? Why is it so hard for women to find the kind of help they need? Why is no one listening to them? And why have so many lost faith in mental healthcare? Drawing on the lived experiences of women, alongside expert commentators, recent history, current events, and her own personal and professional experience, Dr Linda Gask explores women's mental healthcare today. In doing so she confronts her role as a psychiatrist, recalling experiences treating women and as a woman who has received mental healthcare, illustrating the dire need for more change, faster. Women can't all be out of their minds.
A life of the mind can be lived only by creatures who know that they have minds. We call these creatures “persons,” and currently, all such persons THAT we know OF are “alive” in the biological sense. But are there, or could there be, either in the future or elsewhere in the universe, creatures with “a life of the mind” that are not “alive” in the sense that we humans usually understand this term today?
This chapter highlights the newly significant role of embodiment in the discourses of realist aesthetics and theory of mind across the 1860s. Developing conterminously (though not in lockstep), the discourses of aesthetic realism and psychology at this time endowed material reality – including the mind – with new relevance, insisting on the interdependence of body and mind and on the fundamental sameness of scientific and psychological inquiry, whose shared pursuit was advancing the “science of human nature.” More particularly, this chapter moves beyond a familiar emphasis on the role of visual aesthetics to feature other emergent or developing discourses important to realism, including theories of sound, psychology and perception, and motion, and even ital atomic theory and what E.S. Dallas, in The Gay Science (1866), described as “the science of the laws of pleasure.”
This chapter introduces the human as a question. It revolves around the figure of the Theban Sphinx and her interaction with Oedipus and traces her presence from the ancient world into the works of Sigmund Freud. The chapter invokes the Sphinx as a presence that both prompts and challenges the way we think the human. Oedipus’ troubled humanity stands at the intersection between his success in solving the Sphinx’s riddle and his apparent failure to understand how her words apply to his own existence. As such, the Sphinx’ intervention at Thebes exposes a deep-seated vulnerability at the core of the human condition – a vulnerability springing from the fact that while the riddle can be solved with the powers of reasoning, the human as a riddle remains enigmatic and beyond the application of logos.