Signs of Consciousness in Vegetative Patients?
Friday, September 8th, 2006I was interviewed for a column appearing in today’s Wall Street Journal on an intriguing case of possible conscious states in a vegetative patient (“There May Be More To a Vegetative State Than Science Thought” by Sharon Begley).
In the case in question, scientists recorded brain activity in a vegetative patient in response to being asked to imagine playing tennis.
Remarkably, this made neurons fire in the premotor cortex, a region that hums with activity when you mentally practice sophisticated movement, from a jump shot to a backhand. Then they asked her to imagine walking through each room of her house. This time her parahippocampal gyrus, which generates spatial maps, became active, again just as in healthy volunteers.
I think that if the same activity also shows up in patients under general anesthesia, then that activity doesn’t suffice for consciousness. The proposal that people under general anesthetic are conscious after all is an intolerable skeptical hypothesis (do you really want to believe that people suffer their major surgeries?). Only a tiny bit of my point got into the article, though:
There also is the possibility that people in other mental states regarded as unconscious, such as patients under general anesthesia, may show similar brain activity, suggests philosopher Peter Mandik of William Paterson University, Wayne, N.J., who studies consciousness.
Lamme et al (1998) suggest that the responses elicited by stimuli in anesthetized animals constitute merely feed-forward activation of representations in perceptual networks and lack feed-back activations from representations higher in the processing hierarchy. I suggested (but it didn’t make it into the article) that a good case for consciousness in the vegetative patient could be made if the following was found in the vegetative but not anesthetized patients: reciprocal activity of higher-level representations (like abstract representations of tennis) and lower-level representations (like motor-representations in a body-centered reference frame) as in Mandik (2005).
(Cross-posted at Brains)
Update Sept. 12, 2006: On this elsewhere: @Mind Hacks; @Rebecca Skloot; @Milinda’s Questions.
References:
Begley, S. There May Be More To a Vegetative State Than Science Thought. Wall Street Journal September 8, 2006.
Lamme, V. A. F., et al. (1998). Feedforward, horizontal, and feedback processing in the visual cortex. Current Opinion in Neurobiology, 8, 529 – 535.
Mandik, P. (2005) Phenomenal Consciousness and the Allocentric-Egocentric Interface. In: R. Buccheri et al. (eds.); Endophysics, Time, Quantum and the Subjective. World Scientific Publishing Co.







I am Associate Professor and Chair of Philosophy and Coordinator of the Cognitive Science Laboratory at William Paterson University in New Jersey. This blog largely concerns my interests in the Philosophy of Mind and Philosophy of Neuroscience, but also contains evidence of my messing around with art, photography, fiction, and robotics. Find out way more about me and my work