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Oct 10, 2026
Silence in Mood Disorders
A Philosophical Investigation
Summary
Silence is frequently considered negative or harmful in both everyday life – for example, when we are silenced – as well as in psychiatry, where poverty of speech is a symptom of depression and pressure of speech is a symptom of mania. In Silence in Mood Disorders: A Philosophical Investigation (Routledge, 2027), Dan Degerman argues for the need to consider silence in mental disorders in a nuanced way that recognizes different forms of silence and different, including positive, ways silences of speech and inner speech can be experienced. The poverty of speech in depression may lead to the fetishizing of silence-breaking that can cause more distress to a patient who simply does not have anything they want to say, while the pressure of speech in mania may involve disruption in a multicomponent capacity to reliably initiate and maintain silence that is usually habitual and occasionally deliberate. Degerman, who is a research fellow at the University of Bristol on the Epistemic Injustice in Health Care Project, provides an analysis of different types of silence, discusses first-person experiences of being silent in depression and mania, and points to ways in which philosophers and clinicians can enrich their understandings and practices involving silences.
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Carrie Figdor
Carrie Figdor is professor of philosophy at the University of Iowa.
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