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Underconstraint and overconstraint in psychiatry

Published online by Cambridge University Press:  15 June 2005

Elena Bezzubova*
Affiliation:
Department of Medicine, University of California, Irvine, College of Medicine, Irvine, CA92697
Gordon Globus*
Affiliation:
Department of Psychiatry and Human Behavior, University of California, Irvine, College of Medicine, Irvine, CA92697

Abstract:

Hallucination lies at an intriguing border between psychiatry and philosophy. Although Behrendt & Young (B&Y) tie their proposal to Kantian transcendental idealism, other philosophical positions are equally consistent. Cognition is underconstrained by reality not only in hallucination but also in autism and dreaming. Sensory underconstraint is insufficient to encompass schizophrenia. There is also a breakdown in integrative capacity on the cognitive side. From a wider clinical perspective than schizophrenia, there can be underconstraint or overconstraint in sensory and cognitive functionalities.

Type
Open Peer Commentary
Copyright
Copyright © Cambridge University Press 2004

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