somasimple said:
Hi,
Damasio says, too, that core-consciousness is an old thing because its first goal is an enhancing of the homeostatis process. Homeostasis is governed by old brainstem structures.
This, I can't say anything about. Never looked into it.
Many patients who lost consciousness (seizures/kinetic automatism) lost egally the ability to shows the primary emotions. Primary emotions are located also in these old structures and many animals share the same ones.
I get the impression from "kinetic automatism" that he's talking about what are called
complex-partial seizures. Partial seizures are either classified as
simple, which means there is no impairment of consciousness whatever, or
complex, which means there is a greater or lesser defect of consciousness.
As far as they know, so long as seizure activity remains in one single hemisphere, regardless of how many lobes the activity spreads to, the seizure will remain
simple: consciousness will not be impaired. The impairment of consciousness in a complex partial seems only to arise from the spreading of simple partial seizure activity across into the other hemisphere.
The defect of consciousness that results is extremely peculiar and manifests quite differently from patient to patient. It is also quite distinct from the complete loss of consciousness that you get in absense seizures ("Petite Mal"), tonic-clonic seizures ("Grand Mal") and atonic seizures ("Drop Seizures") . These latter render the person completely unconscious by interfering with the thalamus.
In the complex-partial seizure you get all kinds of levels of this "defect" of consciousness, and always amnesia for the incident after it occurs. The "average" CP renders the person about as responsive to the environment as a sleepwalker: they're still vaguely responsive to some sensory imput, but seem more focused on some compelling illusory world, or just plain stupified. This state is usually accompanied by "automatisms": repeated movements and gestures.
As for not being able to show primary emotions, I'm not sure that is generally true. It is only true that whatever emotions they show aren't going to be appropriate to the stimulus. One woman posted on an Epilepsy website saying her husband told her that during her seizures she pulled him close and whispered gibberish with a high emotional valence to him "It sounded like you were trying to tell me something really important". Another person at that site was told by relatives his seizures were screaming sessions. Also: a caution that is repeated over and over again to the loved ones of people with complex partials is to never try to move them around during a seizure, because the reaction is almost always one of hostility, and even violence:
In "The Making Of A Psychiatrist", by David Viscount, he tells of an "uncooperative" man who was brought into a psych ward where he was an intern, by police. This man was surly, and had fought them when they brought him in. He looked directly at anyone who addressed him and responded with an answer that was not gibberish, but which had nothing to do with what they'd asked. No one could figure this out. They put him in a room and left him there. Later the author happened to walk by and see the guy was having a tonic-clonic seizure. Suddenly he realized the initial behaviour was a complex-partial which had later generalized to the tonic-clonic.
People having CP's are certainly not
unconscious, a term which applies to someone in a coma, but they aren't what you could properly call conscious either. That's why they've settled on speaking about this as a "defect of consciousness". And while sometimes they have a flat affect and seem stupified, I don't think this represents an
inability to feel emotion. Some people with CP's get plenty emotional despite the defect of consciousness.