An enactivist approach to treating depression: cultivating online intelligence through dance and music

Phenomenology and the Cognitive Sciences - This paper utilizes the enactivist notion of ‘sense-making’ to discuss the nature of depression and examine some implications for treatment....     

White Supremacy as an affective milieu

Some critical philosophers of race have argued that whiteness can be understood as a technology of affect and that white supremacy is comprised partly of unconscious habits that result in racialized perception. In an effort to deepen our understanding of the affective and bodily dimensions of white supremacy and the ways in which affective habits are socially produced, I look to insights from situated affectivity. Theorists in this field maintain that affective experience is not simply a matter of felt inner states, but rather socially and environmentally embedded and fundamentally relational. Jan Slaby presents the concept of an ‘affective arrangement’ as a way to approach affectivity in terms of relational dynamics unfolding within a particular setting. Applying this concept to the societal level, Paul Schuetze introduces the notion of ‘affective milieu.’ I argue that these notions of ‘affective arrangement’ and ‘affective milieu,’ together with an organicist account of habit, can help to illuminate the workings of white supremacy in the United States. My proposed account highlights the extent to which white supremacy is an affective, bodily phenomenon and how racist habits are formed over the course of learning and ongoing affective engagement, in the context of various social settings. Crucially, these affective habits are fully bound up with habits of appraisal, interpretation, and judgment, and therefore inseparable from how subjects come to see and understand their world.

     

Moral cognition,affect, and psychopathy

Few theorists would challenge the idea that affect and emotion directly influence decision-making and moral judgment. There is good reason to think that they also significantly assist in decision-making and judgment, and in fact are necessary for fully effective moral cognition. However, they are not sufficient. Deliberation and more reflective thought processes likewise play a crucial role, and in fact are inseparable from affective processes. I will argue that while the dual-process account of moral judgment set forth by Craigie (2011) has great merit, it fails to appreciate fully the extent to which affective and reflective processes are not only integrated, but also mutually interdependent. Evidence from psychopathy indicates that when reflective processes are not assisted adequately by what I will call ‘affective framing’, and moral cognition is of the “cooler,” less emotionally-informed variety, what results is not effective cognitive functioning, but rather psychopathology. My proposed account of affective framing aims to make sense of the way in which affect plays a strictly necessary and integral role not just in intuitive moral responses, but also in reflective moral judgments, so that moral cognition is accomplished by the joint operation of affective processes and reflective reasoning processes.     

Getting stuck: temporal desituatedness in depression

The DSM characterizes major depressive disorder partly in temporal terms: the depressive mood must last for at least two weeks, and also must impact the subject "most of the day, nearly every day." However, from the standpoint of phenomenological psychopathology, the long-lasting quality of the condition hardly captures the distinctiveness of depression. While the DSM refers to objective time as measured by clocks and calendars, what is especially striking about depression is the distortions to lived time that it involves. But is there any relation between a) these disruptions to temporal experience and b) the tendency for depressive symptoms to persist and endure? To explore the connection between lived time and objective time, I investigate the embodied and enactive nature of intentionality among subjects suffering from depression. What I call 'affective framing' is a spontaneous, pre-reflective way of filtering information that involves bodily attunement and allows subjects to focus their attention on what they feel is important. I will argue that affective framing ordinarily has a forward-looking temporal structure and a "teleological direction" that is rooted in our embodiment. However, depression involves a distortion in future-directed intentionality, so that a subject becomes temporally desituated and cut off from the future. This contributes to many of the characteristic features of depression, including apparent lack of motivation, inability to imagine future possibilities, alterations in lived time, and a sense that one is "stuck." To gain a better understanding of this disruption to the futuredirected structure of affective framing in cases of depression, I look to concepts from complex dynamic systems theory and the notion of 'habit.' My proposed account aims to shed light on how a disruption to future-directedness impacts bodily attunement and reinforces depression as a long-term condition.     

Can the mind be embodied,enactive, affective, <Emphasis Type="Italic">and</Emphasis> extended?

In recent years, a growing number of thinkers have begun to challenge the long-held view that the mind is neurally realized. One strand of critique comes from work on extended cognition, a second comes from research on embodied cognition, and a third comes from enactivism. I argue that theorists who embrace the claim that the mind is fully embodied and enactive cannot consistently also embrace the extended mind thesis. This is because once one takes seriously the central tenets of enactivism, it becomes implausible to suppose that life, affectivity, and sense-making can extend. According to enactivism, the entities that enact a world of meaning are autonomous, embodied agents with a concerned point of view. Such agents are spatially situated, differentiated from the environment, and intentionally directed towards things that lie at a distance. While the extended mind thesis blurs the distinction between organism and environment, the central tenets of enactivism emphasize differentiations between the two. In addition, enactivism emphasizes that minded organisms are enduring subjects of action and experience, and thus it is implausible to suppose that they transform into a new form of life whenever they become intimately coupled to some new element in their environment. The proponent of enactivism and embodied cognition should acknowledge that life and affectivity are relational and environmentally embedded, but resist the further claim that these phenomena are extended.     

Dissociative identity disorder and ambivalence

While many theorists have argued that dissociative identity disorder (DID) is a case of multiple selves or persons in a single body, I maintain that DID instead should be understood as involving a single self who suffers from significant disruptions to self-consciousness. Evidence of overlapping abilities and memories, as well as the very logic of dissociation, supports the claim that DID results from internal conflict endured by a single self. Along these lines, I will maintain that alter-formation should be understood as the result of extreme emotional ambivalence. While it is true that subjects with DID exhibit volitional conflict, as Frankfurt [1988. The Importance of What We Care About. New York: Cambridge University Press; 1999. Necessity, Volition, and Love. New York: Cambridge University Press] maintains, I argue that these incompatible volitions have a deeper source: conflicting desires and affective stances concerning basic emotional needs that are not easily abandoned. A single subject turns to different alter-personalities as a way to cope with pervasive inner conflict while at the same time hiding contradictory impulses from herself.     

Dissociative Identity Disorder,Ambivalence, and Responsibility

If someone with dissociative identity disorder (DID) commits a wrongful act, is she responsible? If one adopts the Multiple Persons Thesis, it may seem that one alter cannot be responsible for the actions of another alter. Conversely, if one regards the subject as a single person, it may seem that she is responsible for any actions she performs. I will argue that this subject is a single person, but one who suffers from delusions of disownership and therefore does not fulfill ordinary requirements for responsible agency. This is because she suffers from extreme ambivalence: her deep‐seated needs and desires conflict, and she forms alter‐personalities as a way to cope with inner discord without abandoning any of these contradictory impulses. However, although the ability to exercise autonomous agency is eroded in such cases, the capacity for autonomous agency is preserved. The subject with DID is weakly responsible for her wrongful acts.