Algemeen Nederlands Tijdschrift voor Wijsbegeerte - Volume 110, Issue 3, 2018

The person with dementia: A plea for a (non-metaphysical) relational notion of personhood

In this article we explore the notions of personal identity and personhood, using concrete descriptions of the experiences of people living with dementia as a case study. From an analytical point of view we argue against memory or psychological-continuity criteria of personal identity as too cognitive. Instead we focus on embodiment. The person with dementia, as an embodied human being, is numerically the very same person (s)he was before. Moreover, we argue against a metaphysical notion of personhood. Personhood is constituted by the reactive attitudes of other persons: someone becomes a person and remains a person by being received, and almost literally incorporated, in a community of persons. From a phenomenological point of view we show that embodied intersubjectivity is crucial for the recognition of one person by another. We use Merleau-Ponty’s notion of intercorporality to show that there are ways of keeping people with dementia within this community of persons, of keeping in touch with them, even when many of their cognitive capacities are gone, for instance by singing or dancing together. As long as there is still a shared world, it is up to us to keep recognising someone with dementia as a person, and not as ‘an empty shell’.

First-person authority, self-regulation and the problem of confabulation

In this paper we discuss the implications of confabulation studies for the everyday concept of first-person authority. We argue that the results of these studies are less problematic than they are often taken to be if we understand first-person authority in terms of a capacity for self-regulation. We discuss an example of clinical confabuluation to illustrate when confabulation does become a threat to first-person authority.

Neuromodulation and narrative identity: the importance of relational autonomy

In this paper, I discuss the impact of psychological and relational changes after neuromodulation for movement- and psychiatric disorders and the need to adequately address the possibility of such changes in clinical contexts. Based on Focquaert and Schermer (2015), Goddard (2017) and Baylis (2013), I outline a relational narrative identity perspective that can inform and support medical-ethical decisions. The narrative identity theory by Marya Schechtman in combination with a focus on the relational aspects that impact and constitute our identity, highlights the need to identify post-interventional identity changes both from the perspective of the patient, his or her family and loved ones and the medical team. I argue that a thorough informed consent process pre- and post-intervention and adequate psychological counseling allows for such identification and a step by step monitoring and guiding of the patient in this process. From a relational narrative perspective, neuromodulation does not by default pose a threat to our identity. However, this perspective highlights the need to take the relational autonomy of patients seriously and provide a substantial informed consent procedure and adequate psychological counseling.

Plurality of concepts of identity, foundational identity, and dualism

This paper defends three claims. One: the Dutch word for ‘identity’ (viz. ‘identiteit’) is used to express very different concepts, such as the concept of ‘character’, ‘self-image’, ‘social identity’, ‘narrative identity’, and ‘identity through time’. Two: each of these concepts is applicable to human persons, but the concept of ‘identity through time’ is, in a crucial respect, more fundamental than the others. Three: because the fundamental concept of identity applies to human persons, dualism is to be preferred over physicalism.

Identity as expression: Narrativity, embodiment, and intersectionality

How to understand intersectional aspects of personal identity such as gender, race or ethnicity, sexual orientation, age and (dis)ability? In this paper, I argue that it requires a notion of personal identity as expression to do so. Most philosophical theories of personal identity do not take into account social, embodied factors such as the ones named above. In order to consider these, I suggest to start from philosophical accounts of narrative identity, notably Schechtman’s and Ricoeur’s. Instead of taking narrative identity to be exhaustive, I propose to understand it as the expressed aspect of personal identity. Identity as expression does not only pertain to linguistic utterances, but also to the body. In the paper, I derive a notion of the body as ontological ground for sociality from Ricoeur’s philosophy, which includes that our body primordially is body among other bodies and makes us part of a community. Ricoeur still thinks embodiment in a general sense, however, and does not reflect upon its being gendered, being assigned a race or ethnicity, etc.. In the final part of the paper, I suggest to turn to Sartre’s philosophy of the body, because he considers this social dimension of embodiment. His notion ‘unrealizables’ offers interesting opportunities to incorporate the view of others upon us into our self-conception. Intersectional aspects of personal identity such as gender, race, etc. consequently should be seen as factors that we do not experience in the first person, but that form the limits of who we are assigned to by others, that we cannot avoid taking a position towards.

The stories we live by: On narrative self-constitution and self-understanding

In spite of what Galen Strawson defends, it is claimed that a narrative attitude – 
as a psychological fact – is of great use for self-reflective beings in making their experiences understandable and managing their lives. Secondly, there is doubt about the existence of what Marya Schechtman called a ‘narrative self’, i.e. a self that is constituted by the stories people tell about themselves. It is proposed to leave the constitution question aside and to choose, like Peter Goldie did before, for the ‘narrative sense of self’ as an anchor point when we want to understand how people think about their lives and themselves in narrative terms. Finally, it is disputed that narrative self-understanding would be impossible or should be banished to the world of fiction, as anti-narrativists contend. Although the life stories of people are inevitably perspectival and in essence contestable, they are always factual stories that can be true and false and thus play a significant role in better understanding ourselves and others.