A vessel without a pilot: Bodily and affective experience in the Cotard delusion of inexistence

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2023

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Gerrans, P.

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Mind and Language, 2023; 38(4):1059-1080

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Philip Gerrans

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The initial cause of Cotard delusion is pervasive dyshomeostasis (dysregulation of basic bodily function). This explanation draws on interoceptive active inference account of self-representation. In this framework, the self is an hierarchical predictive model made by the brain to facilitate homeostatic regulation. The account I provide is an alternative to two factor accounts of the Cotard delusion that treat depersonalisation experience as the first factor in genesis of the Cotard delusion. I argue that depersonalisation experience and the Cotard delusion are produced by different breakdowns in the process of self-modelling.

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First published: 20 September 2022

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© 2022 The Author. Mind & Language published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

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