Where is the self? A neuroanatomical theory of consciousness

Emotion and the Interactive Brain: Insights From Comparative Neuroanatomy and Complex Systems

Although emotion is closely associated with motivation, and interacts with perception, cognition, and action, many conceptualizations still treat emotion as separate from these domains. Here, a comparative/evolutionary anatomy framework is presented to motivate the idea that long-range, distributed circuits involving the midbrain, thalamus, and forebrain are central to emotional processing. It is proposed that emotion can be understood in terms of large-scale network interactions spanning the neuroaxis that form "functionally integrated systems." At the broadest level, the argument is made that we need to move beyond a Newtonian view of causation to one involving complex systems where bidirectional influences and nonlinearities abound. Therefore, understanding interactions between subsystems and signal integration becomes central to unraveling the organization of the emotional brain.

Special medical conditions associated with catatonia in the internal medicine setting: hyponatremia-inducing psychosis and subsequent catatonia

Diagnosis and treatment of catatonia in the psychiatry consultation service is not infrequent. Usually, the patient either presents to the Emergency Department or develops catatonia on the medical floor. This condition manifests with significant behavioral changes (from mildly decreased speech output to complete mutism) that interfere with the ability to communicate. After structural brain disorders are excluded, one of the diagnoses that always should be considered is catatonia. However, the causes of catatonia are numerous, ranging from psychiatric causes to a plethora of medical illnesses. Therefore, it is not surprising that there are many proposed underlying mechanisms of catatonia and that controversy persists about the etiology of specific cases.There are only 6 reports of hyponatremia-induced catatonia and psychosis in the literature. Here, we present the case of a 30-year-old woman with catatonia and psychosis induced by hyponatremia, and we use this report to exemplify the multitude of biologic causes of catatonia and to propose a new way to look at the neuroanatomical basis of processing, particularly the vertical processing systems we believe are involved in catatonia.

Transprocessing: a proposed neurobiological mechanism of psychotherapeutic processing

How does the human brain absorb information and turn it into skills of its own in psychotherapy? In an attempt to answer this question, the authors will review the intricacies of processing channels in psychotherapy and propose the term transprocessing (as in transduction and processing combined) for the underlying mechanisms. Through transprocessing the brain processes multimodal memories and creates reparative solutions in the course of psychotherapy. Transprocessing is proposed as a stage-sequenced mechanism of deconstruction of engrained patterns of response. Through psychotherapy, emotional-cognitive reintegration and its consolidation is accomplished. This process is mediated by cellular and neural plasticity changes.

The efference cascade, consciousness, and its self: naturalizing the first person pivot of action control

The 20 billion neurons of the neocortex have a mere hundred thousand motor neurons by which to express cortical contents in overt behavior. Implemented through a staggered cortical "efference cascade" originating in the descending axons of layer five pyramidal cells throughout the neocortical expanse, this steep convergence accomplishes final integration for action of cortical information through a system of interconnected subcortical way stations. Coherent and effective action control requires the inclusion of a continually updated joint "global best estimate" of current sensory, motivational, and motor circumstances in this process. I have previously proposed that this running best estimate is extracted from cortical probabilistic preliminaries by a subcortical neural "reality model" implementing our conscious sensory phenomenology. As such it must exhibit first person perspectival organization, suggested to derive from formating requirements of the brain's subsystem for gaze control, with the superior colliculus at its base. Gaze movements provide the leading edge of behavior by capturing targets of engagement prior to contact. The rotation-based geometry of directional gaze movements places their implicit origin inside the head, a location recoverable by cortical probabilistic source reconstruction from the rampant primary sensory variance generated by the incessant play of collicularly triggered gaze movements. At the interface between cortex and colliculus lies the dorsal pulvinar. Its unique long-range inhibitory circuitry may precipitate the brain's global best estimate of its momentary circumstances through multiple constraint satisfaction across its afferents from numerous cortical areas and colliculus. As phenomenal content of our sensory awareness, such a global best estimate would exhibit perspectival organization centered on a purely implicit first person origin, inherently incapable of appearing as a phenomenal content of the sensory space it serves.

Persistence of feelings and sentience after bilateral damage of the insula

It has been convincingly established, over the past decade, that the human insular cortices are involved in processing both body feelings (such as pain) and feelings of emotion. Recently, however, an interpretation of this finding has emerged suggesting that the insular cortices are the necessary and sufficient platform for human feelings, in effect, the sole neural source of feeling experiences. In this study, we investigate this proposal in a patient whose insular cortices were destroyed bilaterally as a result of Herpes simplex encephalitis. The fact that all aspects of feeling were intact indicates that the proposal is problematic. The signals used to assemble the neural substrates of feelings hail from different sectors of the body and are conveyed by neural and humoral pathways to complex and topographically organized nuclei of the brain stem, prior to being conveyed again to cerebral cortices in the somatosensory, insular, and cingulate regions. We suggest that the neural substrate of feeling states is to be found first subcortically and then secondarily repeated at cortical level. The subcortical level would ensure basic feeling states while the cortical level would largely relate feeling states to cognitive processes such as decision-making and imagination.

The nature of feelings: evolutionary and neurobiological origins

Feelings are mental experiences of body states. They signify physiological need (for example, hunger), tissue injury (for example, pain), optimal function (for example, well-being), threats to the organism (for example, fear or anger) or specific social interactions (for example, compassion, gratitude or love). Feelings constitute a crucial component of the mechanisms of life regulation, from simple to complex. Their neural substrates can be found at all levels of the nervous system, from individual neurons to subcortical nuclei and cortical regions.

Transprocessing: neurobiologic mechanisms of change during psychotherapy-a proposal based on a case report

This article proposes transprocessing (as in "transduction" and "processing") as a term to denote mechanisms by which the brain processes information in psychotherapy and develops solutions that have a lasting, curative effect. The case of a woman with a history of posttraumatic conversions, who recovered after long-term psychotherapy, is presented as the basis for a discussion on psychotherapeutic changes of the brain. Psychological healing and change, in general, is seen here as a result of a large variety of neurobiologic processes that reframe complex or multimodal memories. Through transprocessing, multimodal memories are deconstructed along the different axes of the brain tissue and restored through memory mechanisms at the synaptic, cellular level. Transprocessing requires a sustained interplay between the extended projections of the "language brain" and the repeated, alternating activation and deactivation of the midline structures associated with the self, to form pathways through long-term therapeutic experiences. We propose three separate stages of transprocessing by which new implicit and explicit memories of the therapeutic narrative are internalized into a first-person experience. Those stages are 1) evaluation, 2) acquisition, and 3) contextualization.

On the importance of the transient visual response in the superior colliculus

A salient event in the environment can initiate a complex orienting response that includes a shift in gaze. The midbrain superior colliculus (SC) contains the appropriate circuitry to generate and distribute a signal of the priority of this event, and co-ordinate the orienting response. The magnitude and timing of the short-latency transient visual response in the SC, when combined with cortical inputs signaling stimulus relevance and expectation, influences the type and latency of the orienting response. This signal in the SC is distributed to higher cortical areas to influence visual processing, to the reinforcement learning system to influence future actions, and to premotor circuits, including neck and shoulder muscles, to influence immediate action.

Formalization of Damasio's theory of emotion, feeling and core consciousness

This paper contributes an analysis and formalization of Damasio's theory on core consciousness. Three important concepts in this theory are 'emotion', 'feeling' and 'feeling a feeling' (or core consciousness). In particular, a simulation model is described of the dynamics of basic mechanisms leading via emotion and feeling to core consciousness, and dynamic properties are formally specified that hold for these dynamics at a more global level. These properties have been automatically checked for the simulation model. Moreover, a formal analysis is made of relevant notions of representation used by Damasio. As part of this analysis, specifications of representation relations have been verified and confirmed against the simulation model.

Self-referential processing in our brain--a meta-analysis of imaging studies on the self

The question of the self has intrigued philosophers and psychologists for a long time. More recently, distinct concepts of self have also been suggested in neuroscience. However, the exact relationship between these concepts and neural processing across different brain regions remains unclear. This article reviews neuroimaging studies comparing neural correlates during processing of stimuli related to the self with those of non-self-referential stimuli. All studies revealed activation in the medial regions of our brains' cortex during self-related stimuli. The activation in these so-called cortical midline structures (CMS) occurred across all functional domains (e.g., verbal, spatial, emotional, and facial). Cluster and factor analyses indicate functional specialization into ventral, dorsal, and posterior CMS remaining independent of domains. Taken together, our results suggest that self-referential processing is mediated by cortical midline structures. Since the CMS are densely and reciprocally connected to subcortical midline regions, we advocate an integrated cortical-subcortical midline system underlying human self. We conclude that self-referential processing in CMS constitutes the core of our self and is critical for elaborating experiential feelings of self, uniting several distinct concepts evident in current neuroscience.

An Evolutionary Theory of Human Motivation

The authors review psychology's historical, competing perspectives on human motivation and propose a new comprehensive theory. The new theory is based on evolutionary principles as proposed by C. Darwin (1859) and modified by W. D. Hamilton (1964, 1996), R. L. Trivers (1971, 1972), and R. Dawkins (1989). The theory unifies biological, behavioral, and cognitive approaches to motivation. The theory is neuropsychological and addresses conscious and nonconscious processes that underlie motivation, emotion, and self-control. The theory predicts a hierarchical structure of motives that are measurable as individual differences in human behavior. These motives are related to social problem domains (D. B. Bugental, 2000; D. T. Kenrick, N. P. Li, & J. Butner, 2003), and each is hypothesized to solve a particular problem of human inclusive fitness.

mtLOH (mitochondrial loss of heteroplasmy), aging, and 'surrogate self'

In tribute to Dr Strehler, an attempt is made to use a style of reasoning found in some of his later papers as an outline of this article. First, general arguments in favor of the involvement of somatic mutations in mtDNA in the aging process are presented. Second, evidence is provided in support of a general tendency of mitochondrial genomes to reach homoplasmic state at the cellular level, for which we propose the term mitochondrial loss of heteroplasmy (mtLOH). This process is likely to facilitate the involvement of mtDNA mutations in the aging process by streamlining the phenotypic expression of the mutant genotype. Third, preliminary evidence of the very high incidence of clonal deletions in pigmented neurons of substantia nigra is reported. This observation highlights the possibility that accumulation of mtDNA mutations specific in certain cell types of a complex tissue may account for the involvement of mtDNA mutations in the aging process despite the relatively low average incidence of these mutations in the tissue as a whole. High incidence of mtDNA deletions in pigmented neurons evokes Strehler's idea that efforts to delay aging may not be the most cost-efficient way of preserving 'self awareness and a joyful sense of life', as he put it. A potential alternative suggested by Strehler, i.e. creation of a 'surrogate self' by computer simulation may deserve more attention than it currently enjoys.

Dynamic systems theory approach to consciousness

The review of the main existing approaches to consciousness in the literature indicates that consciousness is multileveled and that humans have an ability to experience a wide range of its various states. The common views of the main approaches to consciousness are identified and considered in a three-dimensional model of states of consciousness developed by Kokoszka. This model is then described and discussed using a mathematical terms of dynamic systems theory. Since mathematics is an accepted tool for the description of the physical world, the congruence of psychological and mathematical models is understood as a meaningful support to the psychological one. Connections of the models with artificial neural networks and some applications in psychology are considered.

Suffering: the contributions of persistent pain

Pain is a perceived threat or damage to one's biological integrity. Suffering is the perception of serious threat or damage to the self, and it emerges when a discrepancy develops between what one expected of one's self and what one does or is. Some patients who experience sustained unrelieved pain suffer because pain changes who they are. At a physiological level, chronic pain promotes an extended and destructive stress response characterised by neuroendocrine dysregulation, fatigue, dysphoria, myalgia, and impaired mental and physical performance. This constellation of discomforts and functional limitations can foster negative thinking and create a vicious cycle of stress and disability. The idea that one's pain is uncontrollable in itself leads to stress. Patients suffer when this cycle renders them incapable of sustaining productive work, a normal family life, and supportive social interactions. Although patients suffer for many reasons, the physician can contribute substantially to the prevention or relief of suffering by controlling pain. Suffering is a nebulous concept for most physicians, and its relation to pain is unclear. This review offers a medically useful concept of suffering that distinguishes it from pain, accounts for the contributory relation of pain to suffering by describing pain as a stressor, and explores the implications of these ideas for the care of patients.

NADPH-diaphorase histochemistry in the rat cerebral cortex and hippocampus: effect of electrolytic lesions of the nucleus basalis magnocellularis

Unilateral or bilateral electrolytic lesions of the nucleus basalis magnocellularis (NBM) increased NADPH-diaphorase in the fronto-parietal cortex and in the CA1-CA3 fields of the hippocampus. NBM is the cholinergic basal forebrain nucleus supplying the fronto-parietal cortex but not the hippocampus. This increase was more remarkable at 4 weeks than at 2 weeks after lesioning. Monolateral or bilateral lesioning of the NBM increased to a similar extent NADPH-diaphorase. The number of neurons expressing NADPH-diaphorase was not statistically different between sham-operated and NBM-lesioned rats. These results indicate that similarly as reported in experimental damage of several brain areas, lesions of the NBM induce NADPH-diaphorase. The induction of this marker for nitric oxide synthase occurs both in the target of projections arising from the NBM such as the frontal cortex and in an area not directly supplied by NBM such as the hippocampus. Lesion-induced NADPH-diaphorase increase may contribute to neurodegenerative changes caused by damage of the NBM area.

Effect of lesions of the nucleus basalis magnocellularis and of treatment with posatirelin on cholinergic neurotransmission enzymes in the rat cerebral cortex

The effect of 4 and 8 weeks of treatment with the thyrotropin releasing hormone (TRH), analogue posatirelin (L-6-ketopiperidine-2-carbonyl-L-leucyl-proline amide), on the changes of cholinergic neurotransmission enzymes, choline acetyltransferase (ChAT) and acetylcholinesterase (AChE), caused by lesions of the nucleus basalis magnocellularis (NBM), was investigated in the rat frontal cortex. ChAT and AChE were demonstrated with immunohistochemical and histochemical techniques, respectively associated with image analysis and microdensitometry. Monolateral and bilateral lesions of NBM area caused a significant loss of ChAT-immunoreactive nerve cell bodies in the NBM, as well as a remarkable decrease of ChAT-immunoreactive fibres and of AChE reactivity in the frontal cortex ipsilateral to the lesion or of both sides, respectively. The number of ChAT-immunoreactive nerve cell bodies in the lesioned NBM was higher in posatirelin-treated rats for 8 weeks in comparison with control NBM-lesioned rats. Moreover, the compound increased the number of ChAT-immunoreactive fibres in the frontal cortex of monolaterally and bilaterally NBM-lesioned rats at 8 weeks after lesion, but was without effect on these fibres in sham-operated rats. The same is true for AChE reactivity, developed in the neuropil of the frontal cortex, which was restored in part by an 8-week treatment with posatirelin in NBM-lesioned rats. These findings suggest that treatment with posatirelin rescues cholinergic neurons of the NBM and cholinergic projections to the cerebral cortex affected by lesioning of the NBM. The functional relevance of these observations and their possible applications should be evaluated in future studies.

Neurobiology of consciousness: an overview

The aim of this review is to connect the phenomenology of consciousness to its neurobiology. A survey of the recent literature revealed the following points. (1) Comprehensive descriptions of consciousness, of its subjective as well as of its objective aspects, are both possible and necessary for its scientific study. An intentionality-modeling structure (an unified and stable ego refers to objects or to itself in the framework of a stable, reproducible, predictable world) accounts for the main features. (2) The material basis of consciousness can be clarified without recourse to new properties of matter or to quantum physics. Current neurobiology appears to be able to handle the problem. In fact, the neurobiology of consciousness is already in progress, and has achieved substantial results. At the system level, its main sources of data are: the neurophysiology of sleep-wakefulness, brain imaging of mental representations, attention and working memory, the neuropsychology of frontal syndrome, and awareness-unawareness dissociations in global amnesia and different forms of agnosia. At an intermediate level of organization, the mechanisms of consciousness may be the formation of a certain kind of neural assembly. (3) Further research may focus on neuropsychology and neurophysiology of object perception and recognition as a natural model of intentionality, perception of time, body schema, interhemispheric communications, 'voluntary' acts and mental images. The synthetic and dynamic views provided by brain imaging may be decisive for discovering the neural correlates of the integrative aspects of consciousness. (4) The neurobiological approach may, beyond the finding of cellular and molecular mechanisms, improve the general concepts of consciousness, overcome their antinomies and, against epiphenomenalism, definitely establish the reality of consciousness.

Halcyon days with Bill Arnold

The circumstances that led to the discovery that plants luminesce after they are illuminated are described, as are other discoveries that would not have been possible were it not for the fortuitous association I had with my dear and most admirable friend, W.A. Arnold, to whom this special issue is dedicated.

An introduction to the biology of consciousness

This paper summarizes the main steps in a scientific study of consciousness. From a survey of the recent literature, it appears that: (1) there is a clear tendency to consider consciousness as a scientific object; (2) consistent subjective and objective descriptions of consciousness are possible; an intentional-modeling structure accounts for its main features; (3) from the evolutionary biology standpoint, conscious cognitive activities, as based on models of the self, the world and the alter-ego, have a functional value; (4) the material basis of consciousness can be clarified without recourse to new properties of the matter or to quantum physics. Current neurobiology, based on classical macrophysics, appears able to handle the problem. In this scope, the neurobiology of sleep-wakefulness and attention, and neuropsychology, have already achieved substantial advances.

Orienting behaviour and superior colliculus sensory representations in mice with the vibrissae bent into the contralateral hemispace

When a tactile stimulus touches the body on one side, animals show an orienting response toward that side with the eyes, the head or the entire body. This movement requires the transformation of sensory information into motor commands. The superior colliculus is supposed to be a fundamental part of the brain where this sensorimotor transformation occurs and where one of the possible mechanisms could be the alignment among sensory and motor topographies. We changed the body shape of mice in order to analyse the development of new orienting responses following tactile stimulation. To do this, we bent the left vibrissae from left to right such that they were located in the right portion of the visual hemifield. If left-right inversion was performed in adults, tactile stimulation of the left vibrissae performed from the right produced wrong orienting movements to the left. Conversely, if left-right inversion was performed in newborns, mice learned to respond correctly to the right. By recording from superior colliculus multisensory neurons of mice whose vibrissae were displaced at birth, we found a shift of visual and auditory receptive fields from left to right in those multisensory neurons receiving tactile input from the displaced vibrissae. These results show the strict relation existing between the neuronal modifications in the superior colliculus and the changes in orienting behaviour. These findings also suggest two important conclusions. First, sensory mapping in the superior colliculus depends on sensory inputs coming from the same portion of space.(ABSTRACT TRUNCATED AT 250 WORDS)

Superior colliculus activity related to attention and to connotative stimulus meaning

Single-and multi-unit activity was recorded from cells in the superior colliculus of two awake monkeys (Macaca fascicularis). 32.5% of 366 investigated units responded while the animals attentively gazed at visual stimuli. 50% of these neurons responded to all stimuli presented, including stationary and moving light bars, whereas the other neurons only responded to specific stimuli like faces or food. The responses of a part of these neurons depended on the connotative stimulus meaning.

Spatial attention and two modes of visual consciousness

The relationship between spatial attention and visual consciousness was critically examined in an attempt to show the operation of two simultaneously available modes of visual consciousness (i.e., object consciousness, which concerns the conscious identification of objects, and background consciousness, which deals with conscious monitoring of the background scene). The traditional view seems to pay attention only to object consciousness, which is a product of spatial attention. To substantiate the hypothesis, five topics from varied fields of human experimental psychology were chosen: iconic storage, stabilized retinal image disappearance, stable perception of external space, texture segregation and attention, and spatial frequency sensitivity in a figure-ground reversal figure. The findings of these studies suggest that there may be visual consciousness outside of focal attention and that background consciousness operates as a default mode for global scene analysis and early warning of anomalies. Finally, neural substrata for these two modes of consciousness are suggested.

Have human biological functions evolved in support of a life-span?

Published data on age-related human biological functions are surveyed. For the many showing a linear decrease, regressions were calculated, or existing functions extrapolated, to yield an intercept on the abscissa. The values of chi(0), the age at which a function ceases, provide a tentative common means of comparison. The distribution of chi(0) is skewed because of the apparent longevity of nervous and cerebral functions. The database is sufficiently large to enable one to distinguish those biological functions which appear to have immediate survival value from those which do not. Such an approach may link biomarkers to estimates of the life-span of species.

Belief and behavior: the role of "folk psychology" in psychiatry

Most psychiatrists assume that belief is a basis for behavior. The validity of this assumption has been challenged by certain philosophers who assign the concept belief to the domain of "folk psychology." These philosophers contend that the discoveries of neuroscience will eliminate the ideas of folk psychology from scientific discourse and that behavior will eventually be accounted for in terms of brain states. In order to examine the relationship of belief and behavior, examples of self-mutilation by normal and abnormal individuals are reviewed. It is concluded that belief is a basis for behavior and that neuroscience, like folk psychology, is valid only within certain limits.