Patients in a Minimally Conscious State (MCS) 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 (or minimal) 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. (shrink)

Neurophenomenology maintains that the intelligent behavior we recognize in living beings is based on the fact that they are intentionally directed toward and are embodied and embedded in a world, which they actively constitute. This is the way in which it understands the intentionality of the mind and its meaning-making essence. Meaning-making, however, presupposes organization and synthesis of sensed reality elements within a horizon of temporality. But whence is the opening-up of this horizon given to the living? Attempts have been (...) made to “transplant” Husserl’s transcendental phenomenological analysis of temporality (“internal timeconsciousness”) into the neural infrastructure of living organisms. We critique the main available relevant views and proposals put forward, focusing on the problematic way in which they assimilate Husserl’s analysis of intentionality and temporality. After distinguishing the desiderative (ephetic) phenomena on different levels of organization of the living being, we develop the argument that temporality, in the sense of the temporal horizon of lived time, is rooted in the deepest desiderative phenomenon, that of primordial orexis. Primordial orexis is directed not toward concrete or specific objects or sensory contents, but toward evolutionarily/survivally significant values. Then, we interpret Panksepp’s psychological and behavioral neuro-ethological findings regarding a SEEKING system in dopaminergic circuits in the subcortical frontal brain as an orectic value-seeking neural system and show that Panksepp’s results underpin our idea that such a system makes possible the opening-up of the primordial temporal horizon. As an application of the idea, we claim that primordial orexis (also) relates to truth or evidence as value and, in perception, conditions the meaning-giving process leading to the evident appearing of the perceptual object as a constitution that unfolds in the context of the orectically opened-up temporal horizon. (shrink)