The discussion centers on whether sexual arousal and physiological responses, such as erections, can occur when an individual is unconscious. It is noted that men can experience nocturnal emissions during sleep, suggesting that sexual functions may still be operable in unconscious states. The conversation highlights that sexual arousal is primarily regulated by the sympathetic nervous system, which can remain functional even when higher brain functions are impaired. However, while bodily changes may occur, true arousal in the conscious sense is not possible without awareness. The potential for erections in unconscious individuals, particularly in cases of trauma or drug influence, is acknowledged, but the nuances between unconsciousness and sleep are emphasized. The discussion also touches on the implications of these physiological responses in the context of sexual assault, noting that while erections may occur, they do not equate to consent or awareness. Overall, the topic raises complex questions about the interplay between unconsciousness, bodily reflexes, and sexual function.