TY - JOUR A1 - Martens, Suzanne A1 - Bensch, Michael A1 - Halder, Sebastian A1 - Hill, Jeremy A1 - Nijboer, Femke A1 - Ramos-Murguialday, Ander A1 - Schoelkopf, Bernhard A1 - Birbaumer, Niels A1 - Gharabaghi, Alireza T1 - Epidural electrocorticography for monitoring of arousal in locked-in state JF - Frontiers in Human Neuroscience N2 - Electroencephalography (EEG) often fails to assess both the level (i.e., arousal) and the content (i.e., awareness) of pathologically altered consciousness in patients without motor responsiveness. This might be related to a decline of awareness, to episodes of low arousal and disturbed sleep patterns, and/or to distorting and attenuating effects of the skull and intermediate tissue on the recorded brain signals. Novel approaches are required to overcome these limitations. We introduced epidural electrocorticography (ECoG) for monitoring of cortical physiology in a late-stage amytrophic lateral sclerosis patient in completely locked-in state (CLIS) Despite long-term application for a period of six months, no implant related complications occurred. Recordings from the left frontal cortex were sufficient to identify three arousal states. Spectral analysis of the intrinsic oscillatory activity enabled us to extract state-dependent dominant frequencies at <4, similar to 7 and similar to 20 Hz, representing sleep-like periods, and phases of low and elevated arousal, respectively. In the absence of other biomarkers, ECoG proved to be a reliable tool for monitoring circadian rhythmicity, i.e., avoiding interference with the patient when he was sleeping and exploiting time windows of responsiveness. Moreover, the effects of interventions addressing the patient's arousal, e.g., amantadine medication, could be evaluated objectively on the basis of physiological markers, even in the absence of behavioral parameters. Epidural ECoG constitutes a feasible trade-off between surgical risk and quality of recorded brain signals to gain information on the patient's present level of arousal. This approach enables us to optimize the timing of interactions and medical interventions, all of which should take place when the patient is in a phase of high arousal. Furthermore, avoiding low responsiveness periods will facilitate measures to implement alternative communication pathways involving brain-computer interfaces (BCI). KW - temporal-lobe epilepsy KW - neuroprosthetic devices KW - brain computer interface KW - event-related potentials KW - intraoperative electrocoicography KW - electrocorticography KW - epidural recording KW - locked-in state KW - coma KW - consciousness KW - paralyzed patients KW - EEG KW - sleep KW - communication KW - frequencies KW - amyotrophic-lateral-sclerosis Y1 - 2014 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-114863 VL - 8 ER - TY - JOUR A1 - Ingerslev, Line Ryberg T1 - Inhibited Intentionality: On Possible Self-Understanding in Cases of Weak Agency JF - Frontiers in Psychology N2 - The paper addresses the question of how to approach consciousness in unreflective actions. Unreflective actions differ from reflective, conscious actions in that the intentional description under which the agent knows what she is doing is not available or present to the agent at the moment of acting. Yet, unreflective actions belong to the field in which an agent experiences herself as capable of acting. Some unreflective actions, however, narrow this field and can be characterized by intentionality being inhibited. By studying inhibited intentionality in unreflective actions, the aim of the paper is to show how weaker forms of action urge us to expand our overall understanding of action. If we expand the field of actions such that it encompasses also some of the involuntary aspects of action, we are able to understand how unreflective actions can remain actions and do not fall under the scope of automatic behavior. With the notion of weak agency, the paper thus addresses one aspect of unreflective action, namely, “inhibited intentionality” in which an agent feels a diminished sense of authorship in relation to her possibility for self-understanding. The notion of weak agency clarifies how agency itself remains intact but can involve a process of appropriation of one’s actions as one’s own. With a diachronic account of consciousness in unreflective action, the paper accounts for possible self-understanding in cases where none seems available at the moment of action. KW - unreflective actions KW - habits KW - consciousness KW - action KW - responsibility KW - diachronicity Y1 - 2020 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-212950 SN - 1664-1078 VL - 11 ER - TY - BOOK A1 - Glasgow, Rupert T1 - Minimal Selfhood and the Origins of Consciousness N2 - The aim of the book is to ground the logical origins of consciousness in what I have previously called the ‘minimal self’. The idea is that elementary forms of consciousness are logically dependent not, as is commonly assumed, on ownership of an anatomical brain or nervous system, but on the intrinsic reflexivity that defines minimal selfhood. The book seeks to trace the logical pathway by which minimal selfhood gives rise to the possible appearance of consciousness. It is argued that in specific circumstances it thus makes sense to ascribe elementary consciousness to certain predatory single-celled organisms such as amoebae and dinoflagellates as well as to some of the simpler animals. Such an argument involves establishing exactly what those specific circumstances are and determining how elementary consciousness differs in nature and scope from its more complex manifestations. N2 - In Minimal Selfhood and the Origins of Consciousness, R.D.V. Glasgow seeks to ground the logical roots of consciousness in what he has previously called the 'minimal self'. The idea is that elementary forms of consciousness are logically dependent not, as is commonly assumed, on ownership of an anatomical brain or nervous system, but on the intrinsic reflexivity that defines minimal selfhood. The aim of the book is to trace the logical pathway by which minimal selfhood gives rise to the possible appearance of consciousness. It is argued that in specific circumstances it thus makes sense to ascribe elementary consciousness to certain predatory single-celled organisms such as amoebae and dinoflagellates as well as to some of the simpler animals. Such an argument involves establishing exactly what those specific circumstances are and determining how elementary consciousness differs in nature and scope from its more complex manifestations. KW - Selbst KW - Bewusstsein KW - self KW - consciousness KW - Logik Y1 - 2018 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-157470 SN - 978-3-95826-078-8 (Print) SN - 978-3-95826-079-5 (Online) N1 - Parallel erschienen als Druckausgabe in Würzburg University Press, ISBN 978-3-95826-078-8, 28,90 EUR. PB - Würzburg University Press CY - Würzburg ET - 1. Auflage ER - TY - JOUR A1 - Erlbeck, Helena A1 - Kübler, Andrea A1 - Kotchoubey, Boris A1 - Veser, Sandra T1 - Task instructions modulate the attentional mode affecting the auditory MMN and the semantic N400 JF - Frontiers in Human Neuroscience N2 - Event-related potentials (ERPs) have been proven to be a useful tool to complement clinical assessment and to detect residual cognitive functions in patients with disorders of consciousness. These ERPs are of ten recorded using passive or unspecific instructions. Patient data obtained this way are then compared to data from healthy participants, which are usually recorded using active instructions. The present study investigates the effect of attentive modulations and particularly the effect of activevs. passive instruction on the ERP components mismatch negativity (MMN) and N400. A sample of 18 healthy participants listened to three auditory paradigms: anoddball, aword priming, and a sentence paradigm. Each paradigm was presented three times with different instructions: ignoring auditory stimuli, passive listening, and focused attention on the auditory stimuli. After each task, the participants indicated their subjective effort. The N400 decreased from the focused task to the passive task, and was extinct in the ignore task. The MMN exhibited higher amplitudes in the focused and passive task compared to the ignore task. The data indicate an effect of attention on the supratemporal component of the MMN. Subjective effort was equally high in the passive and focused tasks but reduced in the ignore task. We conclude that passive listening during EEG recording is stressful and attenuates ERPs, which renders the interpretation of the results obtained in such conditions difficult. KW - ERP KW - priming KW - selective attention KW - event-related potentials KW - vigilance decrement KW - brain potentials KW - vegetative state KW - consciousness KW - component KW - predicts recovery KW - mismatch negativity KW - attention KW - instruction KW - N400 KW - MMN Y1 - 2014 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-115553 VL - 8 IS - 654 ER -