Is the “Minimally Conscious State” Patient Minimally Self-Aware?

Frontiers in Psychology 11 (2020)
  Copy   BIBTEX


Patients in a Minimally Conscious State constitute a subgroup of awareness impaired patients who show minimal signs of awareness as opposed to patients in a Vegetative State who do not exhibit any such signs. While the empirical literature is rich in studies investigating either overt or covert signs of awareness in such patients the question of self-awareness has only scarcely been addressed. Even in the occasion where self-awareness is concerned, it is only higher-order or reflective self-awareness that is the target of such investigations. In the first part of this paper, I briefly review the relevant clinical neuroscience literature to demonstrate that the conception of self-awareness at play in such studies is indeed that of reflective self-awareness. In the second part, I present the philosophical notion of pre-reflective self-awareness. This is shown to primarily refer to the implicit awareness of our embodied subjectivity which essentially permeates all our experiences. As discussed, this minimal self-awareness is not specifically addressed when clinically or experimentally assessing patients in MCS. My suggestion is that neuroimaging studies targeting minimal self-awareness as in First-Person Perspective-taking paradigms could be used with MCS patients to shed light on the question of whether those individuals are minimally self-aware even in the case where they lack self-reflective abilities. Empirical evidence of this kind could have important theoretical implications for the discussion about the notion of self-awareness but also potential medical and social/legal implications for awareness impaired patients’ management.



    Upload a copy of this work     Papers currently archived: 74,310

External links

Setup an account with your affiliations in order to access resources via your University's proxy server

Through your library

Similar books and articles

What Does Society Owe Those Who Are Minimally Conscious?Marilyn Martone - 2006 - Journal of the Society of Christian Ethics 26 (2):201-217.
Self-Intimation.Galen Strawson - 2013 - Phenomenology and the Cognitive Sciences 14 (1):1-31.
Basic Self‐Awareness.Alexandre Billon - 2017 - European Journal of Philosophy 25 (3):732-763.
Basic Self‐Awareness.Alexandre Billon - 2016 - European Journal of Philosophy 24 (4).
What Kind of Awareness is Awareness of Awareness?Michelle Montague - 2017 - Grazer Philosophische Studien 94 (3):359-380.


Added to PP

2 (#1,392,759)

6 months
1 (#415,900)

Historical graph of downloads
How can I increase my downloads?

Citations of this work

No citations found.

Add more citations

References found in this work

Mind and World.John McDowell - 1994 - Cambridge: Harvard University Press.
Two Concepts of Consciousness.David M. Rosenthal - 1986 - Philosophical Studies 49 (May):329-59.
Mind and World.John Mcdowell - 1996 - Philosophical Quarterly 46 (182):99-109.

View all 33 references / Add more references