Circumscribed delusional beliefs can follow brain injury. We suggest t
hat these involve anomalous perceptual experiences created by a defici
t to the person's perceptual system, and misinterpretation of these ex
periences due to biased reasoning. We use the Capgras delusion (the cl
aim that one or more of one's close relatives has been replaced by an
exact replica or impostor) to illustrate this argument. Our account ma
intains that people voicing this delusion suffer an impairment that le
ads to faces being perceived as drained of their normal affective sign
ificance, and an additional reasoning bias that leads them to put grea
ter weight on forming beliefs that are observationally adequate rather
than beliefs that are a conservative extension of their existing stoc
k. We show how this position can integrate issues involved in the phil
osophy and psychology of belief, and examine the scope for mutually be
neficial interaction.