A concept of consciousness

被引:13
作者
Niedermeyer, E
机构
[1] Johns Hopkins Univ, Sch Med, Dept Neurol, Towson, MD 21204 USA
[2] Johns Hopkins Univ, Sch Med, Dept Neurosurg, Towson, MD 21204 USA
[3] Sinai Hosp, Div Neurol, Towson, MD 21204 USA
来源
ITALIAN JOURNAL OF NEUROLOGICAL SCIENCES | 1999年 / 20卷 / 01期
关键词
consciousness; vigilance; attention; selective consciousness; historical aspects; sleep; initiation; coma; epilepsy;
D O I
10.1007/s100720050004
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The term "consciousness", so widely used in clinical settings, is considered extremely complex and practically undefinable. Historically, consciousness was ignored by the great classical philosophers, and was regarded as a basic condition of "being". This changed with Descartes and during the ensuing centuries. A simplified, reductionistic and easily definable concept of consciousness is proposed; consciousness is proposed to consist of three main components: vigilance, mental contents, and selective attention. These three components can be investigated with modern neuroscientific methods - vigilance being the most readily explorable function. The striking differences between sleep and coma are pointed out (along with some observations on sleep initiation). Special attention is paid to epileptic impairment of consciousness and, in particular, to the spike-wave absence which is thought to be due to a temporay suspension of the "working memory circuits" within the frontal lobe.
引用
收藏
页码:7 / 15
页数:9
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