Explanation does not exist in a metaphysical vacuum. Conceptions of the structure of a phenomenon play an important role in guiding attempts to explain it, and erroneous conceptions of a phenomenon may direct investigation in misleading directions. I believe that there is a case to be made for thinking that much work on the neural underpinnings of consciousness—what is often called the neural correlates of consciousness—is driven by an erroneous conception of the structure of consciousness. The aim (...) of this paper is lay bare some connections between the explanation of consciousness and the structure of consciousness, and to argue for a conception of the structure of consciousness that is more adequate than that which currently drives much research into the neural correlates of consciousness. (shrink)

What altered states of consciousness—the dissolution of feelings of time and self—can tell us about the mystery of consciousness. During extraordinary moments of consciousness—shock, meditative states and sudden mystical revelations, out-of-body experiences, or drug intoxication—our senses of time and self are altered; we may even feel time and self dissolving. These experiences have long been ignored by mainstream science, or considered crazy fantasies. Recent research, however, has located the neural underpinnings of these altered states of mind. In (...) this book, neuropsychologist Marc Wittmann shows how experiences that disturb or widen our everyday understanding of the self can help solve the mystery of consciousness. Wittmann explains that the relationship between consciousness of time and consciousness of self is close; in extreme circumstances, the experiences of space and self intensify and weaken together. He considers the emergence of the self in waking life and dreams; how our sense of time is distorted by extreme situations ranging from terror to mystical enlightenment; the experience of the moment; and the loss of time and self in such disorders as depression, schizophrenia, and epilepsy. Dostoyevsky reported godly bliss during epileptic seizures; neurologists are now investigating the phenomenon of the epileptic aura. Wittmann describes new studies of psychedelics that show how the brain builds consciousness of self and time, and discusses pilot programs that use hallucinogens to treat severe depression, anxiety, and addiction. If we want to understand our consciousness, our subjectivity, Wittmann argues, we must not be afraid to break new ground. Studying altered states of consciousness leads us directly to the heart of the matter: time and self, the foundations of consciousness. (shrink)

Conscious states as objects of awareness: on Uriah Kriegel, Subjective consciousness: a self - representational theory Content Type Journal Article Pages 1-9 DOI 10.1007/s11098-011-9763-9 Authors Brie Gertler, Corcoran Department of Philosophy, University of Virginia, Charlottesville, VA 22904, USA Journal Philosophical Studies Online ISSN 1573-0883 Print ISSN 0031-8116.

Are conscious states conscious in virtue of representing themselves? Content Type Journal Article Pages 1-8 DOI 10.1007/s11098-011-9762-x Authors Berit Brogaard, Department of Philosophy, University of Missouri, St. Louis, 599 Lucas Hall, One University Blvd., St. Louis, MO 63121-4400, USA Journal Philosophical Studies Online ISSN 1573-0883 Print ISSN 0031-8116.

The concept of futility is sometimes regarded as a cloak for medical paternalism in that it rolls together medical and value judgments. Often, despite attempts to disambiguate the concept, that is true and it can be applied in such a way as to marginalize the real interests of a patient. I suggest we replace it with a conceptual toolkit that includes physiological futility, substantial benefit (SB), and the risk of unacceptable badness (RUB) in that these concepts allow us to articulate (...) what is at stake in ethical judgments where outcomes are crucial in determining what should be done. (shrink)

I draw attention to an ambiguity of the expression ‘phenomenal consciousness’ that is an avoidable yet persistent source of conceptual confusion among consciousness scientists. The ambiguity is between what I call phenomenality and what I call conscious states, where the former denotes an abstract property and the latter denotes a phenomenon or class of its instances. Since sentences featuring these two terms have different semantic properties, it is possible to equivocate over the term ‘consciousness’. It is also (...) possible to fail to distinguish between statements that are true about conscious states in virtue of their phenomenality, and statements that are true in virtue of other properties of conscious states. I review empirically informed arguments by scientists Bernard Balleine and Anthony Dickinson, Stevan Harnad, and Jeffrey Alan Gray, arguing that each of them makes errors based on the ambiguity. I conclude with some tentative suggestions for avoiding further confusion about the ambiguity. (shrink)

I believe that there is a ubiquitous pre-reflective self-awareness accompanying first-order conscious states. However, I do not think that such self-awareness is itself typically conscious. On my view, conscious self-awareness enters the picture during what is sometimes called “introspection” which is a more sophisticated form of self-consciousness. I argue that there is a very close connection between consciousness and self-consciousness and, more specifically, between the structure of all conscious states and self-consciousness partly based on the higher-order (...) thought theory of consciousness. A plausible notion of self-consciousness is, I think, simply having any degree of higher-order or meta-psychological thought. I argue that the connection between conscious states and self-consciousness is representational but also critically evaluate several different options. I then critique the alternative “acquaintance” theory of self-awareness and address a couple of recent criticisms of HOT theory. There is the potential danger of misrepresentation between self-awareness and conscious states which I also briefly address. (shrink)

One of the final obstacles to understanding consciousness in physical terms concerns the question of whether conscious states can exist in posterior regions of the brain without active connections to the brain's prefrontal lobes. If they can, difficult issues concerning our knowledge of our conscious states can be resolved. This paper contains a list of types of conscious states that may meet this criterion, including states of coma, states in which subjects are absorbed in a perceptual task, states in (...) brains with damaged prefrontal lobes, states of meditation and conscious states of some infants and animals. Recent evidence also suggests that conscious states of some people with autism may meet this criterion. (shrink)

A philosopher and a cognitive neuroscientist conversed with Buddhist lama Tilmann Lhündrup Borghardt (TLB) about the unresolved phenomenological concerns and logical questions surrounding “pure” consciousness or minimal phenomenal experience (MPE), a quasi-contentless, non-dual state whose phenomenology of “emptiness” is often described in terms of the phenomenal quality of luminosity that experienced meditators have reported occurs in deep meditative states. Here, we present the excerpts of the conversation that relate to the question of how it is possible to first have (...) and later retrieve such non-dual states of selflessness and timelessness that are unrelated to sensory input. According to TLB, a “pure” experience of consciousness contains the phenomenal quality of luminous clarity, which is experienced solely in the transitional phase from the non-dual state of absolute emptiness to the state of minimal emptiness, when the person gradually returns to duality. However, this quality of luminous clarity can also be experienced in non-minimal states as in the experiential mode of being awakened. TLB describes this transition as a kind of ephemeral afterglow in the form of a maximally abstract phenomenal quality, i.e., luminosity, which justifies the conclusion of having been in a state of “pure” consciousness. (shrink)

Striking experimental results by Benjamin Libet and colleagues have had an impor- tant impact on much recent discussion of consciousness. Some investigators have sought to replicate or extend Libet’s results (Haggard, 1999; Haggard & Eimer, 1999; Haggard, Newman, & Magno, 1999; Trevena & Miller, 2002), while others have focused on how to interpret those findings (e.g., Gomes, 1998, 1999, 2002; Pockett, 2002), which many have seen as conflicting with our commonsense picture of mental functioning.

Philosophers traditionally recognize two main features of mental states: intentionality and phenomenal consciousness. To a first approximation, intentionality is the aboutness of mental states, and phenomenal consciousness is the felt, experiential, qualitative, or "what it's like" aspect of mental states. In the past few decades, these features have been widely assumed to be distinct and independent. But several philosophers have recently challenged this assumption, arguing that intentionality and consciousness are importantly related. This article overviews the key views (...) on the relationship between consciousness and intentionality and describes our favored view, which is a version of the phenomenal intentionality theory, roughly the view that the most fundamental kind of intentionality arises from phenomenal consciousness. (shrink)

Sleep researchers in different disciplines disagree about how fully dreaming can be explained in terms of brain physiology. Debate has focused on whether REM sleep dreaming is qualitatively different from nonREM (NREM) sleep and waking. A review of psychophysiological studies shows clear quantitative differences between REM and NREM mentation and between REM and waking mentation. Recent neuroimaging and neurophysiological studies also differentiate REM, NREM, and waking in features with phenomenological implications. Both evidence and theory suggest that there are isomorphisms between (...) the phenomenology and the physiology of dreams. We present a three-dimensional model with specific examples from normally and abnormally changing conscious states. Key Words: consciousness; dreaming; neuroimaging; neuromodulation; NREM; phenomenology; qualia; REM; sleep. (shrink)

This chapter explains how mindmelding — the direct experience by one person of another's conscious states — is in fact possible. The temporal lobes causally interact with the prefrontal lobes by way of fiber bundles that run underneath the cortical surface. This provides the perfect first experiment in mindmelding: to ‘branch’ those fiber bundles and run the other end into the brain of another person. Evidence is provided that these bundles have close connections to consciousness, in that whatever affects (...) them has immediate effects on consciousness. Then, before responding to several objections, the chapter considers another issue brought up by these experiments — the question of the relation between mindmelding and mindreading. Is mindmelding similar to mindreading? Does the existence of a mindreading system help us achieve mindmelding? (shrink)

Sleep researchers in different disciplines disagree about how fully dreaming can be explained in terms of brain physiology. Debate has focused on whether REM sleep dreaming is qualitatively different from nonREM (NREM) sleep and waking. A review of psychophysiological studies shows clear quantitative differences between REM and NREM mentation and between REM and waking mentation. Recent neuroimaging and neurophysiological studies also differentiate REM, NREM, and waking in features with phenomenological implications. Both evidence and theory suggest that there are isomorphisms between (...) the phenomenology and the physiology of dreams. We present a three-dimensional model with specific examples from normally and abnormally changing conscious states. Key Words: consciousness; dreaming; neuroimaging; neuromodulation; NREM; phenomenology; qualia; REM; sleep. (shrink)

The phenomenon of hypnosis provides a rich paradigm for those seeking to understand the processes that underlie consciousness. Understanding hypnosis tells us about a basic human capacity for altered experiences that is often overlooked in contemporary western societies. Throughout the 200 year history of psychology, hypnosis has been a major topic of investigation by some of the leading experimenters and theorists of each generation. Today hypnosis is emerging again as a lively area of research within cognitive (systems level) neuroscience (...) informing basic questions about the structure and biological basis of conscious states. This book describes the latest advances in understanding hypnosis and similar trance states by researchers within the neuroscience of consciousness. It contains many new and exciting contributions from up and coming researchers and provides a lively debate on methodological and theoretical issues central to the development of emerging research paradigms in the neuroscience of conscious states. The book introduces and describes many of the recent new tools that have become available to researchers in this field. Academics, researchers, and clinicians wanting to develop their knowledge of the latest findings, theories and methods in the scientific study of hypnosis and related states of consciousness will find this an up to date guide to this rapidly advancing field. (shrink)

Argues that the brain and the mind are one--that the thoughts, feelings, dreams, and memories that constitute our consciousness are in fact an amalgam of electrical impulses and chemical interactions.

The phenomenon of hypnosis provides a rich paradigm for those seeking to understand the processes that underlie consciousness. Understanding hypnosis tells us about a basic human capacity for altered experiences that is often overlooked in contemporary western societies. Throughout the 200 year history of psychology, hypnosis has been a major topic of investigation by some of the leading experimenters and theorists of each generation. Today hypnosis is emerging again as a lively area of research within cognitive neuroscience informing basic (...) questions about the structure and biological basis of conscious states. This book describes the latest advances in understanding hypnosis and similar trance states by researchers within the neuroscience of consciousness. It contains many new and exciting contributions from up and coming researchers and provides a lively debate on methodological and theoretical issues central to the development of emerging research paradigms in the neuroscience of conscious states. The book introduces and describes many of the recent new tools that have become available to researchers in this field. Academics, researchers, and clinicians wanting to develop their knowledge of the latest findings, theories and methods in the scientific study of hypnosis and related states of consciousness will find this an up to date guide to this rapidly advancing field. (shrink)

Experimental philosophy of consciousness aims to investigate and explain our thinking about phenomenally conscious states. Based on empirical studies, researchers have argued (a) that we lack a folk concept of consciousness, (b) that we do not think entities like Microsoft feel regret, (c) that unfelt pains are widely accepted, and (d) that people do not attribute phenomenally conscious states to duplicated hamsters. In this article, I review these and other intriguing claims about people’s understanding of phenomenal consciousness. (...) In doing so, I also show why experimental philosophy of consciousness is challenging, although perhaps not quite as daunting as studying phenomenal consciousness itself. (shrink)

For a wide range of concepts, a thinker’s understanding of what it is for a thing to fall under the concept plausibly involves knowledge of an identity. It involves knowledge that the thing has to have the same property as is exemplified in instantiation of the concept in some distinguished, basic instance. This paper addresses the question: can we apply this general model of the role of identity in understanding to the case of subjective, conscious states? In particular, can we (...) explain our understanding of what it is for someone else to be in a particular conscious state in terms of our knowledge of the relation of identity which that state bears to some of our own states?[1] This is a large issue, with many ramifications both within and beyond the philosophy of mind; so let me give a map for the route I aim to take. We first need to consider the features of explanations of concepts in terms of identity in domains outside the mental. There are substantial constraints on legitimate explanation of concepts in terms of identity. There are also reasons that it is harder to meet these constraints in the case of concepts of conscious states than it is in other cases. I will go on to suggest a way in which we can overcome the special difficulties of the conscious case, and to try to elaborate the nature both of our understanding of first person applications of concepts of conscious states, and of our grasp of an identity relation applied to these states. A positive account of understanding in this area, as in any other, has to dovetail with a credible epistemology of conscious states in oneself and in others. I will offer something under that head, and say how the resulting position steers a middle way distinct from each of the two classic rival positions on conscious states of the later Wittgenstein on the one hand, and of Frege on the other. (shrink)

What is it for a thinker to possess the concept of perceptual experience? What is it to be able to think of seeings, hearings and touchings, and to be able to think of experiences that are subjectively like seeings, hearings and touchings?

I offer a close reading of the first part of Sartre's The Transcendence of the Ego, arguing that contrary to widely held interpretation, one of Sartre's main goals in that text is to defend the view that consciousness does not necessitate self-awareness, that not all conscious states need be, ipso facto, states of self-awareness. In addition, I explain that this view about the conceptual relationship between consciousness and self-awareness has important methodological implications. One of the standard strategies for (...) accounting for the possibility of the type of capacity to have I* thoughts and attitudes is based on the assumption that being conscious necessarily entails being self-aware in at least a minimal sense, and then proceeds to explain how it I*-thoughts and attitudes are possible on the basis of those minimal states of self-awareness. Yet if Sartre's account of self-awareness is so much as plausible, this kind of strategy is bound to be incomplete. By helping itself to a notion of minimal self-awareness that is purportedly constitutive of consciousness, it fails to account for what is, by its own lights, the most fundamental form of self-awareness. (shrink)

Fundamental limitations constraining the application of emergence to formulations of conscious mental states are explored within the paradigm of classical science. This paradigm includes standard interpretations of functionalism, computationalism and complex systems theories of mind -- theories which are ultimately justified by an appeal to emergentist principles. We define a distinction between extrinsic and intrinsic accounts of emergent conscious states, and examine the prospects for both. Extrinsic accounts are subject to relativities with respect to external observers that must be resolved (...) if the ontological character of conscious states is to be preserved. While this can, in some cases, be accomplished by imposing an appropriate invariance, no such strategy exists in the case of relativity with respect to boundary without absurd consequences. If, on the other hand, conscious states require intrinsic definition, a specification of the system boundary must be explicitly available if the conscious ontology is to be uniquely specified. Even minimal information requirements make this incompatible with locality constraints. We investigate what progress can be made in overcoming these obstacles by relaxing various assumptions. (shrink)

In his recent book ‘Kant and the Mind’ Andrew Brook makes a distinction between two types of selfawareness. The first type, which he calls empirical self-awareness, is an awareness of particular psychological states such as perceptions, memories, desires, bodily sensations etc. One attains this type of self-awareness simply by having particular experiences and being aware of them. To be in possession of empirical self-awareness is, in short, simply to be conscious of one’s occurrent experience. The second type of self-awareness he (...) calls apperceptive self-awareness. This type of self-awareness entails an awareness of oneself as the subject of experience. For this type of self-awareness to obtain, it would not be enough merely to be conscious of, say, an occurrent perception of a chair, one would also have to be aware that it was oneself who was perceiving the chair. And as Brook adds, when I am self-aware in this way, I am not only aware of being the subject of a single experience, but also aware of myself as the common subject of other psychological states (Brook, 1994: 55-57). I find Brook’s distinction illuminating, but it raises a question which I would like to pursue in this paper. When we speak of self-awareness, do we then necessarily also speak of a self, is there so to speak always a self involved in self-awareness, or is it rather the case, as Brook’s notion of empirical selfawareness might suggest, that there are types of self-awareness which are ‘selfless’, or to use two other related terms ‘subjectless’ or ‘non-egological’? Is self-awareness always to be understood as an awareness of a self, or can it be understood simply as the awareness which a specific experience has of itself? Ultimately, I believe an answer to these questions are important, both when it comes to an understanding of what exactly self-awareness amounts to, and also when it comes to a proper understanding of what a self is.. (shrink)

Objective: The value of spontaneous EEG oscillations in distinguishing patients in vegetative and minimally conscious states was studied. Methods: We quantified dynamic repertoire of EEG oscillations in resting condition with closed eyes in patients in vegetative and minimally conscious states (VS and MCS). The exact composition of EEG oscillations was assessed by the probability-classification analysis of short-term EEG spectral patterns. Results: The probability of delta, theta and slow-alpha oscillations occurrence was smaller for patients in MCS than for VS. Additionally, only (...) patients in MCS demonstrated fast-alpha oscillation occurrence. Depending on the type and composition of EEG oscillations, the probability of their occurrence was either aetiology dependent or independent. The probability of EEG oscillations occurrence differentiated brain injuries with different aetiologies. Conclusions: Spontaneous EEG oscillations have a potential value in distinguishing patients in VS and MCS. Significance: This work may have implications for clinical care, rehabilitative programs and medical–legal decisions in patients with impaired consciousness states following coma due to acute brain injuries. (shrink)

Laboratoire de Neurosciences Cognitives et Imagerie Ce´re´brale (LENA), Hoˆpital de La Salpeˆtrie`re, Centre National de la Recherche Scientifique (CNRS).

This chapter focuses on attributions of phenomenal consciousness, leaving to the side interesting questions about how people attribute other types of consciousness. While researchers are not in perfect agreement about how the concept of phenomenal consciousness should be understood, the standard line is that a creature is phenomenally conscious just in case it has phenomenally conscious mental states, and that a mental state is phenomenally conscious just in case it has phenomenal qualities. The chapter explores whether lay (...) people employ the concept of phenomenal consciousness. It begins by looking at the evidence for an affirmative answer to this question, focusing on Joshua Knobe and Jesse Prinz's article, Intuitions About Consciousness: Experimental Studies. The chapter explains the evidence for a negative answer to the target question, focusing on Justin Sytsma and Edouard machery's article, Two Conceptions of Subjective Experience. (shrink)

The value of resting electroencephalogram (EEG) in revealing neural constitutes of consciousness (NCC) was examined. We quantified the dynamic repertoire, duration and oscillatory type of EEG microstates in eyes-closed rest in relation to the degree of expression of clinical self-consciousness. For NCC a model was suggested that contrasted normal, severely disturbed state of consciousness and state without consciousness. Patients with disorders of consciousness were used. Results suggested that the repertoire, duration and oscillatory type of EEG (...) microstates in resting condition quantitatively related to the level of consciousness expression in brain-damaged patients and healthy-conscious subjects. Specifically, results demonstrated that (a) decreased number of EEG microstate types was associated with altered states of consciousness, (b) unawareness was associated with the lack of diversity in EEG alpha-rhythmic microstates, and (c) the probability for the occurrence and duration of delta-, theta- and slow-alpha-rhythmic microstates were associated with unawareness, whereas the probability for the occurrence and duration of fast-alpha-rhythmic microstates were associated with consciousness. In conclusion, resting EEG has a potential value in revealing NCC. This work may have implications for clinical care and medical–legal decisions in patients with disorders of consciousness. (shrink)

The point of departure of this paper is Penrose's definition of conscious action as that in which stimulus and response are linked by a non‐algorithmic relationship, which Penrose defines as ‘understanding’. My purpose is to explore the nature of this understanding by means of a two‐step process. The first step is provided by Tononi's Integrated Information Theory of consciousness. This theory provides us with a quantitative measure of conscious states that we need to transform into qualitative meaning. In the (...) second step, we obtain this qualitative meaning with the help of the structuralist theory of mind. From this perspective, meaning originates in the set of qualitative contrasts that define the alternative courses of action that might have been implemented. Work on the analogy between quantitative bits and qualitative binary oppositions does not solve the hard problem of consciousness, but it might help to reformulate it in a new, productive way. (shrink)

The possibility of algorithmic consciousness depends on the assumption that conscious states can be copied or repeated by sufficiently duplicating their underlying physical states, leading to a variety of paradoxes, including the problems of duplication, teleportation, simulation, self-location, the Boltzmann brain, and Wigner’s Friend. In an effort to further elucidate the physical nature of consciousness, I challenge these assumptions by analyzing the implications of special relativity on evolutions of identical copies of a mental state, particularly the divergence of (...) these evolutions due to quantum fluctuations. By assuming the supervenience of a conscious state on some sufficient underlying physical state, I show that the existence of two or more instances, whether spacelike or timelike, of the same conscious state leads to a logical contradiction, ultimately refuting the assumption that a conscious state can be physically reset to an earlier state or duplicated by any physical means. Several explanatory hypotheses and implications are addressed, particularly the relationships between consciousness, locality, physical irreversibility, and quantum no-cloning. (shrink)

Answers to the title's question have been influenced by a history in which an early science of consciousness was rejected by behaviourists on the argument that this entails commitment to ontological dualism and "free will" in the sense of indeterminism. This is, however, a confusion of theoretical assertions with metaphysical assertions. Nevertheless, a legacy within computational and information-processing views of mind rejects or de-emphasises a role for consciousness. This paper sketches a mentalistic metatheory in which conscious states are (...) the sole carriers of symbolic representations, and thus have a central role in the explanation of mental activity and action-while specifying determinism and materialism as useful working assumptions. A mentalistic theory of causal learning, experimentally examined with phenomenal reports, is followed by examination of these questions: Are there common roles for phenomenal reports and brain imaging? Is there defensible evidence for unconscious brain states carrying symbolic representations? Are there interesting dissociations within consciousness? (shrink)

Acknowledgements -- Preface: consciousness : the dark energy of the brain? -- Psychology and the scientific study of consciousness -- What is consciousness? -- The philosophy of consciousness -- The history of consciousness in psychological science -- Methods for the scientific study of consciousness -- Neuropsychology and consciousness -- The neural correlates of consciousness (ncc) -- Dreaming -- Hypnosis -- Higher states of consciousness -- Afterword -- Glossary.

In a recent book, Neil Levy argues that culpable action – action for which we are morally responsible – is necessarily produced by states of which we are consciously aware. However, criminal defendants are routinely held responsible for criminal harm caused by states of which they are not conscious in Levy’s sense. In this chapter I argue that cases of negligent criminal harm indicate that Levy’s claim that moral responsibility requires synchronic conscious awareness of the moral significance of an act (...) is too strict, and that tracing conditions cannot be successfully used to bolster Levy’s account. Instead, current legal practices indicate that criminal responsibility requires the capacity for diachronic agency and self-control, not synchronic conscious control. (shrink)

Wijdicks and colleagues1 recently presented the Full Outline of UnResponsiveness (FOUR) scale as an alternative to the Glasgow Coma Scale (GCS)2 in the evaluation of consciousness in severely brain-damaged patients. They studied 120 patients in an intensive care setting (mainly neuro-intensive care) and claimed that “the FOUR score detects a locked-in syndrome, as well as the presence of a vegetative state.”1 We fully agree that the FOUR is advantageous in identifying locked-in patients given that it specifically tests for eye (...) movements or blinking on command. This is welcomed given that misdiagnosis of the locked-in syndrome has been shown to occur in more than half of the cases (see Laureys and colleagues3 for review). As for the diagnosis of the vegetative state, the scale explicitly tests for visual pursuit, and hence can disentangle the vegetative state from the minimally conscious state (MCS). The diagnostic criteria for MCS have been proposed4 only recently, but Wijdicks and colleagues1 do not mention the existence of this clinical entity in their article. As for the vegetative state, MCS can be encountered in the acute or subacute setting as a transitional state on the way to further recovery, or it can be a more chronic or even permanent condition. The MCS refers to patients showing inconsistent, albeit clearly discernible, minimal behavioral evidence of consciousness (eg, localization of noxious stimuli, eye fixation or tracking, reproducible movement to command, or nonfunctional verbalization).4 The FOUR scale does not test for all of the behavioral criteria required to diagnose MCS.4 It is known from the literature (see Majerus and colleagues5 for review) that about a third of patients diagnosed with vegetative state are actually in MCS, and this misdiagnosis can lead to major clinical, therapeutic, and ethical consequences. We tested the ability of the newly proposed FOUR scale to correctly diagnose the vegetative state in an acute (intensive care and neurology ward) and chronic (neurorehabilitation) setting.. (shrink)