Revisiting the Irrationality of Delusions: a reply to Vaughan Bell

Today I want to share some thoughts on last week's interesting post on de-rationalising delusions. In the pre-print of their thought provoking paper, Vaughan Bell has argued, with Nichola Raihani and Sam Wilkinson, for the view that models of delusions need to include "alterations to coalitional cognition" and to depart from the dominant views that characterise delusions primarily as irrational beliefs. Here I am not going to discuss their positive proposal, which sounds plausible, but just comment on how the so-called 'dominant account' the authors object to in the paper groups together heterogeneous views of what makes delusions distinctive and pathological. Some of the cognitive accounts Bell and colleagues have as their polemical target hold that: (1) the irrationality of delusions is distinctive from (more radical than) the irrationality of other beliefs; and (2) the irrationality of delusions is the main source (if not the only source) of their pathologic...