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In 1881, Joseph Camp, an elderly and self-trained Methodist minister from Talladega County in eastern Alabama, was brought by his family to Bryce Hospital, an insane asylum in Tuscaloosa, where he remained for over five months. Camp, misled by relatives concerning the purpose of the trip, was shocked and angered at his loss of freedom and his treatment in the hospital. After his release, he composed an account of his stay and published it at his own expense, providing a rare glimpse of 19th century mental health care from a patient's viewpoint. Camp's account reveals his naive trust in...

Everyone has mistaken one thing for another, such as a stranger for an acquaintance. A person who has mistaken two things, Joseph Camp argues, even on a massive scale, is still capable of logical thought. In order to make that idea precise, one needs a logic of confused thought that is blind to the distinction between the objects that have been confused. Confused thought and language cannot be characterized as true or false even though reasoning conducted in such language can be classified as valid or invalid.

To the extent that philosophers have addressed this issue at all, they...