The thought experiment has been criticised with the notion that what happens with Otto is not very similar to what happens with Inga. This criticism is addressed by Clark in Supersizing the Mind:
Philosophical arguments against the extended mind thesis include the following.
This "4E" view of cognition contrasts with the view of the mind as a processing center that creates mental representations of reality and uses them to control the body's behaviour. The field of extended cognition focuses upon the processes involved in this creation and subsumes these processes as part of consciousness, which is no longer confined to the brain or body but involves interaction with the environment. At a 'low' level, like motor learning and haptic perception, the body is involved in cognition, but there is a 'high' level where cultural factors play a role. This view of cognition is sometimes referred to as enaction to emphasise the role of interplay between the organism and its environment and the feedback processes involved in developing an awareness of, and a reformation of, the environment. For example, Japyassú and Laland argue that some spider's web is something between part of its sensory system and an additional part of its cognitive system.
In 2021, biology and social science writer Annie Murphy Paul published “The Extended Mind: The Power of Thinking Outside the Brain.” Inspired by Clark's and Chalmers's work, the book synthesizes the results of various scientific papers and studies that examine the intelligence that exists beyond the human brain.
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