Modes and models in disorders of consciousness science

The clinical assessment of non-communicative brain damaged patients is extremely difficult and there is a need for paraclinical diagnostic markers of the level of consciousness. In the last few years, progress within neuroimaging has led to a growing body of studies investigating vegetative state and minimally conscious state patients, which can be classified in two main approaches. Active neuroimaging paradigms search for a response to command without requiring a motor response. Passive neuroimaging paradigms investigate spontaneous brain activity and brain responses to external stimuli and aim at identifying neural correlates of consciousness. Other passive paradigms eschew neuroimaging in favour of behavioural markers which reliably distinguish conscious and unconscious conditions in healthy controls. In order to furnish accurate diagnostic criteria, a mechanistic explanation of how the brain gives rise to consciousness seems desirable. Mechanistic and theoretical approaches could also ultimately lead to a unification of passive and active paradigms in a coherent diagnostic approach. In this paper, we survey current passive and active paradigms available for diagnosis of residual consciousness in vegetative state and minimally conscious patients. We then review the current main theories of consciousness and see how they can apply in this context. Finally, we discuss some avenues for future research in this domai

Laminar fMRI: applications for cognitive neuroscience

The cortex is a massively recurrent network, characterized by feedforward and feedback connections between brain areas as well as lateral connections within an area. Feedforward, horizontal and feedback responses largely activate separate layers of a cortical unit, meaning they can be dissociated by lamina-resolved neurophysiological techniques. Such techniques are invasive and are therefore rarely used in humans. However, recent developments in high spatial resolution fMRI allow for non-invasive, in vivo measurements of brain responses specific to separate cortical layers. This provides an important opportunity to dissociate between feedforward and feedback brain responses, and investigate communication between brain areas at a more fine- grained level than previously possible in the human species. In this review, we highlight recent studies that successfully used laminar fMRI to isolate layer-specific feedback responses in human sensory cortex. In addition, we review several areas of cognitive neuroscience that stand to benefit from this new technological development, highlighting contemporary hypotheses that yield testable predictions for laminar fMRI. We hope to encourage researchers with the opportunity to embrace this development in fMRI research, as we expect that many future advancements in our current understanding of human brain function will be gained from measuring lamina-specific brain responses

The Biolinguistics of Autism: Emergent Perspectives

This contribution attempts to import the study of autism into the biolinguistics program by reviewing the current state of knowledge on its neurobiology, physiology and verbal phenotypes from a comparative vantage point. A closer look at alternative approaches to the primacy of social cognition impairments in autism spectrum disorders suggests fundamental differences in every aspect of language comprehension and production, suggesting productive directions of research in auditory and visual speech processing as well as executive control. Strong emphasis is put on the great heterogeneity of autism phenotypes, raising important caveats towards an all-or-nothing classification of autism. The study of autism brings interesting clues about the nature and evolution of language, in particular its ontological connections with musical and visual perception as well as executive functions and generativity. Success in this endeavor hinges upon expanding beyond the received wisdom of autism as a purely social disorder and favoring a “cognitive style” approach increasingly called for both inside and outside the autistic community

Understanding the Higher-Order Approach to Consciousness

Critics have often misunderstood the higher-order theory (HOT) of consciousness. Here we clarify its position on several issues, and distinguish it from other views such as the global The higher-order theory (HOT) of consciousness has often been misunderstood by critics. Here we clarify its position on several issues, and distinguish it from other views such as the global workspace theory (GWT) and early sensory models (e.g. first-order local recurrency theories). For example, HOT has been criticized for over-intellectualizing consciousness. We show that while higher-order states are cognitively assembled, the requirements are actually considerably less than often presumed. In this sense HOT may be viewed as an intermediate position between GWT and early sensory views. Also, we clarify that most proponents of HOT do not stipulate consciousness as equivalent to metacognition or confidence. Further, compared to other existing theories, HOT can arguably account better for complex everyday experiences, such as of emotions and episodic memories. This makes HOT particularly useful as a framework for conceptualizing pathological mental states

Oscillations, metastability and phase transitions in brain and models of cognition

Neuroscience is being practiced in many different forms and at many different organizational levels of the Nervous System. Which of these levels and associated conceptual frameworks is most informative for elucidating the association of neural processes with processes of Cognition is an empirical question and subject to pragmatic validation. In this essay, I select the framework of Dynamic System Theory. Several investigators have applied in recent years tools and concepts of this theory to interpretation of observational data, and for designing neuronal models of cognitive functions. I will first trace the essentials of conceptual development and hypotheses separately for discerning observational tests and criteria for functional realism and conceptual plausibility of the alternatives they offer. I will then show that the statistical mechanics of phase transitions in brain activity, and some of its models, provides a new and possibly revealing perspective on brain events in cognition

Default Mode Network alterations in alexithymia: An EEG power spectra and connectivity study

Recent neuroimaging studies have shown that alexithymia is characterized by functional alterations in different brain areas [e.g., posterior cingulate cortex (PCC)], during emotional/social tasks. However, only few data are available about alexithymic cortical networking features during resting state (RS). We have investigated the modifications of electroencephalographic (EEG) power spectra and EEG functional connectivity in the default mode network (DMN) in subjects with alexithymia. Eighteen subjects with alexithymia and eighteen subjects without alexithymia matched for age and gender were enrolled. EEG was recorded during 5 min of RS. EEG analyses were conducted by means of the exact Low Resolution Electric Tomography software (eLORETA). Compared to controls, alexithymic subjects showed a decrease of alpha power in the right PCC. In the connectivity analysis, compared to controls, alexithymic subjects showed a decrease of alpha connectivity between: (i) right anterior cingulate cortex and right PCC, (ii) right frontal lobe and right PCC, and (iii) right parietal lobe and right temporal lobe. Finally, mediation models showed that the association between alexithymia and EEG connectivity values was directed and was not mediated by psychopathology severity. Taken together, our results could reflect the neurophysiological substrate of some core features of alexithymia, such as the impairment in emotional awareness

Synaesthesia: a distinct entity that is an emergent feature of adaptive neurocognitive differences

In this article, I argue that synaesthesia is not on a continuum with neurotypical cognition. Synaesthesia is special: its phenomenology is different; it has distinct causal mechanisms; and is likely to be associated with a distinct neurocognitive profile. However, not all synaesthetes are the same, and there are quantifiable differences between them. In particular, the number of types of synaesthesia that a person possesses is a hitherto underappreciated variable that predicts cognitive differences along a number of dimensions (mental imagery, sensory sensitivity, attention to detail). Together with enhanced memory, this may constitute a common core of abilities that may go some way to explaining why synaesthesia might have evolved. I argue that the direct benefits of synaesthesia are generally limited (i.e. the synaesthetic associations do not convey novel information about the world) but, nevertheless, synaesthesia may develop due to other adaptive functions (e.g. perceptual ability, memory) that necessitate changes to design features of the brain. The article concludes by suggesting that synaesthesia forces us to reconsider what we mean by a ‘normal’ mind/brain. There may be multiple ‘normal’ neurodevelopmental trajectories that can sculpt very different ways of experiencing the world, of which synaesthesia is but one. This article is part of a discussion meeting issue ‘Bridging senses: novel insights from synaesthesia’

Investigating the neural correlates of ongoing experience

Spontaneous thoughts are heterogeneous and inherently dynamic. Despite their time-variant properties, studies exploring spontaneous thoughts have identified thematic patterns that exhibit trait-like characteristics and are stable across time. Concurrently, structural and functional neuroimaging studies have shown unique and stable whole-brain network configurations linked to behaviour either through the static and dynamic intrinsic communication and activity of their core regions or through informational exchange with each other. This thesis aimed to explore how these within and between network interactions at different temporal scales might relate to variations in ongoing experience. We utilised different neuroimaging modalities (diffusion weighted and functional magnetic resonance imaging) and applied both static and dynamic analyses techniques. We found evidence of inter-individual variation in all cases associated with different patterns of spontaneous thoughts. Experiment 1 found that variation in white matter architecture projecting to the hippocampus, as well as the stable functional interaction of the hippocampus with the medial prefrontal cortex were linked to the tendency of experiencing thoughts related to the future or the past. Experiment 2 found that static functional connectivity of the precuneus and a lateral fronto-temporal network was related to visual imagery. Furthermore, we found that coupling of a lateral visual network with regions of the brainstem and cerebellum was associated with ruminative thinking, self-consciousness and attentional problems. Importantly, our results highlighted an interaction among these associations, where the brainstem visual network coupling moderated the relationship between parietal-frontal regions and reports of visual imagery. Finally, Experiment 3 used hidden Markov modelling to identify dynamic neural states linked to thoughts related to problem-solving and less intrusive thinking, as well as better physical and mental health. Collectively, these studies highlight the utility of using both static and dynamic measures of neural function to understand patterns of ongoing experience