Abstract
The Cotard delusion is often referred to as the belief that one is dead or does not exist (see Bayne & Pacherie, 2004; Coltheart, Menzies & Sutton, 2010; Gardner-Thorpe & Pearn, 2004; Hirstein, 2010; Pacherie, 2009). Such is the paradoxical nature of this belief that arguably, it, above all else, best captures what Jaspers (1946/1963) referred to as the un-understandability of delusions. Further, ‘the Cotard delusion is unique in that, in Cartesian logic or philosophy, it is the only self-certifiable delusion’ (Gardner-Thorpe & Pearn, 2004, p. 563) insofar as to declare I am dead or do not exist is self-evidently a contradiction. So what does it mean to be dead in a Cotardian sense? Is the patient talking about physical death, or ‘spiritual’ or emotional death? Perhaps they are referring to total annihilation; after all, some patients claim not to exist at all. On the other hand — contra-death — others claim to be immortal. These differences have a clear underlying theme — that of existential change.
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Further reading
Gerrans, P. (2000). Refining the explanation of Cotard’s delusion. Mind and Language, 15(1), 111–122.
McKay, R. & Cipolotti, L. (2007). Attributional style in a case of Cotard delusion. Consciousness and Cognition, 16, 349–359.
Perris, C. (1955). Sul delirio cronico di negazione (syndrome di Cotard). Neuropsichiatria, 11, 175–201.
Young, A.W. & Leafhead, K.M. (1996). Betwixt life and death: case studies of the Cotard delusion. In P. W. Halligan & J.C. Marshall (Eds), Methods in madness: case studies in cognitive neuropsychiatry (pp. 147–171). Hove: Psychology Press.
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© 2013 Garry Young
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Young, G. (2013). The Cotard Delusion. In: Philosophical Psychopathology. Palgrave Macmillan, London. https://doi.org/10.1057/9781137329325_12
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DOI: https://doi.org/10.1057/9781137329325_12
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