Andrew And Alexander Fingelkurts

Altered states of consciousness (ASCs) are known to elicit profound transformations in self-awareness. However, the temporal dynamics underlying the neurophenomenology of Selfhood during extended ASCs remain insufficiently characterized. This study investigated the temporal dynamics of Selfhood neurophenomenology during a prolonged ASC induced by conscious connected breathing (CCB). We employed a multimodal approach integrating psychometric assessments (nine questionnaires), introspective self-reports, and electroencephalogram-based measures of operational synchrony in 14 healthy participants who were experienced breathwork practitioners. The analysis focused on the dynamic trajectories of three operational modules within the self-referential network, each corresponding to distinct phenomenal aspects of complex experiential Selfhood (witnessing agency—“Self,” embodied emotional agency—“Me,” and reflective/narrative agency—“I”) across three chronological phases of the CCB session: CHARGE, PROCESS, and INTEGRATION. CCB reliably induced significant alterations in self-consciousness, including ego dissolution, disembodiment, attenuation of the witnessing observer, and heightened experiences of unity, bliss, sacredness, and noetic insight. Electroencephalogram data revealed an overall reduction in functional integrity across all three operational modules, with the most pronounced disruption occurring during the CHARGE phase. Each operational module exhibited distinct temporal dynamics that closely aligned with participants’ introspective reports. Moreover, partial and complete mystical experience subgroups displayed divergent neurophenomenological profiles: Complete mystical states were characterized by the dissolution of “Self” and “Me,” alongside amplification of “I.” Given the small number of participants in these two subgroups, these distinctions should be regarded as exploratory. Despite the shifts in “Self” and “Me” and “I,” the proportional configuration of the Selfhood triumvirate components remained remarkably stable across all phases. Exploratory analyses of phenomenological profile similarities suggested that CCB-induced experiences closely resembled those elicited by psilocybin. These findings provide convergent evidence for the dynamic modulation yet structural resilience of the Selfhood triumvirate during CCB-induced prolonged ASCs.

This study investigated the intraindividual stability and reliability of the three core aspects of the Selfhood triumvirate (‘Self’, ‘Me’, and ‘I’) as well as their mutual relationship (the Selfhood triumvirate configuration/pattern) by measuring the within-subjects reproducibility of functional integrity within three operational modules (OMs) of the brain’s self-referential network (SRN), each associated with one of these aspects, upon repeat testing (test–retest reliability). Our findings revealed statistically robust, moderate-to-high intraindividual test–retest reliability for the individual aspects (‘Self’, ‘Me’, and ‘I’), and exceptionally high reliability for their overall functional configuration (i.e., the relative proportion of expression among the three aspects). Importantly, the analyses did not provide evidence that the duration between assessments, participants’ age, or the presence of somatic or psychopathological conditions moderated these reliability measures. Taken together, the results suggest that the ‘Self’, ‘Me’, and ‘I’ aspects of the Selfhood triumvirate, as well as their overall functional configuration, exhibit trait-like properties, albeit to varying degrees, measured as the stability of functional integrity within the corresponding SRN OMs across time, age, and normative versus pathological conditions. Limitations of the present study and directions for future research are discussed.

Cardeña et al. have made an ambitious and much-needed contribution with their proposed consensus taxonomy of altered (non-ordinary) states of consciousness (ASCs). In conclusion, Cardeña et al. have succeeded in laying a conceptual foundation that may help consolidate ASC research across disciplines. Their taxonomy introduces structure without sacrificing complexity and opens the door to data driven neurophenomenological inquiry. The central challenge ahead lies in embracing the very ambiguity that makes ASCs so compelling: They often refuse to sit comfortably in just one categorical “box.” Rather than a flaw, this may be the most revealing essence of consciousness itself.

Neutral hypnosis offers a valuable state for researchers interested in the nature of consciousness. By minimizing external influences and suggestions, it allows for the investigation of the intrinsic qualities of hypnotic consciousness and its relationship to normal waking states. Studies have shown that neutral hypnosis can result in a significant shift in self-perception. Self-consciousness in neutral hypnosis is often characterized by distortions in the sense of self, fluctuations in self-awareness, and alterations in the experience of agency and body ownership. However, despite these clear effects, the field has largely overlooked the importance of these self-alterations, leading to a notable gap in the literature. In this chapter, we aim to address this gap by examining the existing research on self-consciousness in neutral hypnosis, emphasizing the need for more focused and well-structured studies utilizing the neurophenomenological methodology. Specifically, we propose to apply the neurophysiological three-dimensional model of complex experiential Selfhood, which conceptualizes the self as composed of three dynamically interacting aspects – first-person agency, embodiment, and narrative-reflection – each associated with three distinct sub-networks of the brain’s self-referential network. These sub-networks are assessed through EEG operational synchrony analysis, providing a functional measure of their integration. Additionally, we outline several promising avenues for future research, accompanied by testable predictions regarding neurophenomenological alterations in Selfhood as a function of the depth of neutral hypnosis.

In this conceptual review, we explore how alterations in the configuration and expression of the three core aspects of experiential Selfhood—‘Self,’ ‘Me’, and ‘I’—both reflect and shape an individual’s susceptibility to neuropsychopathology. Drawing on empirical neurophenomenological evidence and theoretical insights, we examine a range of psychiatric and neurological disorders through the lens of the Selfhood triumvirate. Our findings indicate that, despite variations in the expression of Selfhood aspects across different pathologies, their proportional configuration remains remarkably stable in most conditions, with the ‘Self’ aspect consistently dominant, followed by the ‘Me’ aspect, and finally the ‘I’ aspect. This stability suggests a fundamental neurophenomenological hierarchy in Selfhood organization, which seems to be disrupted only in extreme cases such as vegetative (unresponsive) states and also schizophrenia. Ultimately, we propose that all neuropsychopathologies are best understood as disorders of Selfhood, where disruptions in the dynamic balance and configuration of the ‘Self’, ‘Me’, and ‘I’ aspects accompany neurophenomenological manifestations in distinct dysfunctions and pathologies.

In this first-of-its-kind neurophenomenological study we investigated the dynamic configuration and the levels of variability of the “Self”-, “Me”-, and “I”- components that comprise a complex experiential Selfhood across 16 distinct modes covering a range of healthy-normal, altered, and pathological brain states. The phenomenology was addressed by examining the mental structures of subjective self-experience, and for the neurophysiological counterpart, we used electroencephalogram analysis to gather data on three subnets of the self-referential brain network that correspond to the three components of Selfhood. This methodological approach allowed us to uncover peculiarities and generalities in the dynamic of the Selfhood triad across a wide range of modes that could not be seen in a single study. We showed that any given Selfhood state is determined by varying proportions of “Self”, “Me”, and “I”-components depending on the phenomenological manifestation of a particular mode. Furthermore, we demonstrated that the “Self”-component has more leeway in expressing various pathological modes while having a very narrow window for variance in norm. The “I”-component, on the other hand, exhibits the opposite tendency, with a wide range of normal modes and only a narrow window for true pathological expression. Finally, the “Me”-component expresses a position intermediate between the “Self”- and “I”-components (though closer to the “I”-component). The findings are discussed with an emphasis on their theoretical, conceptual, philosophical, and clinical implications.

Unprecedented advancements in the diagnosis and treatment of patients with disorders of consciousness (DoC) have given rise to ethical questions about how to recognize and respect autonomy and a sense of agency of the personhood when those capacities are themselves disordered, as they typically are in patients with DoC. At the intersection of these questions rests the distinction between consciousness and unconsciousness. Indeed, evaluations of consciousness levels and capacity for recovery have a significant impact on decisions regarding whether to discontinue or prolong life-sustaining therapy for DoC patients. However, in the unconsciousness domain, there is the confusing array of terms that are regularly used interchangeably, making it quite challenging to comprehend what unconsciousness is and how it might be empirically grounded. In this opinion paper, we will provide a brief overview of the state of the field of unconsciousness and show how a rapidly evolving electroencephalogram (EEG) neuroimaging technique may offer empirical, theoretical, and practical tools to approach unconsciousness and to improve our ability to distinguish consciousness from unconsciousness and also nonconsciousness with greater precision, particularly in cases that are borderline (as is typical in patients with DoC). Furthermore, we will provide a clear description of three distant notions of (un)consciousness (unconsciousness, nonconsciousness, and subconsciousness) and discuss how they relate to the experiential selfhood which is essential for comprehending the moral significance of what makes life worth living.

Medical well-regarded policy recommendations for patients with disorders of consciousness (DoC) are almost exclusively relied on behavioural examination and evaluation of higher-order cognition, and largely disregard the patients’ self. This is so because practically establishing the presence of self-awareness or Selfhood is even more challenging than evaluating the presence of consciousness. At the same time, establishing the potential (actual physical possibility) of Selfhood in DoC patients is crucialy important from clinical, ethical, and moral standpoints because Selfhood is the most central and private evidence of being an independent and free agent that unites intention, embodiment, executive functions, attention, general intelligence, emotions and other components within the intra-subjective frame (first-person givenness). The importance of Selfhood is supported further by the observation that rebooting of self-awareness is the first step to recovery after brain damage. It seems that complex experiential Selfhood can be plausibly conceptualized within the Operational Architectonics (OA) of brain-mind functioning and reliably measured by quantitative electroencephalogram (qEEG) operational synchrony.

While there is still a limited understanding of the Selfhood phenomenon, an emerging consensus is that the experiential Selfhood refers to a sense of the undergoing experience in its implicit first-person mode of givenness that is immediately and tacitly given as “mine”. It is also evident that there are phenomenological disruptions within self-consciousness ranging from normal everyday short-lived dissociative episodes to pathological, intense and prolonged forms of dissociative experience classified as depersonalization disorder (DD). In the present study we explored the neurophenomenology of Selfhood (using the recently introduced neurophysiological three-dimensional construct model of experiential Selfhood, Fingelkurts et al., 2020) in a newly diagnosed and untreated 29-year-old female who suffers from DD. According to the triad model of Selfhood, three major components of Selfhood (phenomenal first-person agency – “Self”, embodiment – “Me”, and reflection/narration – “I”) are related to three operational modules (OMs) of the self-referential brain network (reliably estimated by electroencephalogram operational synchrony analysis). We have found that subject with DD exhibited a strong enhancement of functional integrity of the brain Self-module, a moderate decrease in the functional integrity of Me-module, and a pronounced decrease in the functional integrity of I-module, – all of which were associated with severity of specific DD symptoms.

This study investigates eight case reports of spontaneously emerging, brief episodes of vivid altered states of Selfhood (ASoSs) that occurred during mental exercise in six long-term meditators by using a neurophenomenological electroencephalography (EEG) approach. In agreement with the neurophenomenological methodology, first-person reports were used to identify such spontaneous ASoSs and to guide the neural analysis, which involved the estimation of three operational modules of the brain self-referential network (measured by EEG operational synchrony). The result of such analysis demonstrated that the documented ASoSs had unique neurophenomenological profiles, where several aspects or components of Selfhood (measured neurophysiologically and phenomenologically) are affected and expressed differently, but still in agreement with the neurophysiological three-dimensional construct model of the complex experiential Selfhood proposed in our earlier work (Fingelkurts et al. in Conscious Cogn, 2020).

Recently, a three-dimensional construct model for complex experiential Selfhood has been proposed (Fingelkurts et al., 2016b,c). According to this model, three specific subnets (or modules) of the brain self-referential network (SRN) are responsible for the manifestation of three aspects/features of the subjective sense of Selfhood. Follow up multiple studies established a tight relation between alterations in the functional integrity of the triad of SRN modules and related to them three aspects/features of the sense of self; however, the causality of this relation is yet to be shown. In this article we approached the question of causality by exploring functional integrity within the three SRN modules that are thought to underlie the three phenomenal components of Selfhood while these components were manipulated mentally by experienced meditators in a controlled and independent manner. Participants were requested, in a block-randomised manner, to mentally induce states representing either increased (up-regulation) or decreased (down-regulation) sense of (a) witnessing agency (“Self”), or (b) body representational-emotional agency (“Me”), or (c) reflective/narrative agency (“I”), while their brain activity was recorded by an electroencephalogram (EEG). This EEG-data was complemented by first-person phenomenological reports and standardised questionnaires which focused on subjective contents of three aspects of Selfhood. The results of the study strengthen the case for a direct causative relationship between three phenomenological aspects of Selfhood and related to them three modules of the brain SRN. Furthermore, the putative integrative model of the dynamic interrelations among three modules of the SRN has been proposed.

The Operational Architectonics (OA) of brain-mind functioning is a theory that unifies brain and mind through nested and dynamic hierarchy of electromagnetic brain fields. Recently, it has been enriched by concepts from physics like time, space, entropy, and self-organized criticality. This review paper advances OA theory further by delving into the foundations of quantum physics and Eastern metaphysics in relation to mind function. We aim to show that the brain-mind OA is the boundary between and integration point of quantum physics and Eastern metaphysics, and that it may inspire building a richer and more inclusive paradigm of the brain-mind relation, where quantum physics and Eastern metaphysics are inherently intertwined.

Human beings are in the midst of very powerful shifts in our understanding of what it means to be a human. There is a non-trivial chance that sometime in the future humanity will transform itself, leading to an emergence of posthumans with God-like qualities – Homo Deificatio. Such a transformation has great potential for both good and bad. Posthumanism seeks to improve human nature, increase the human life- and health-span, extend its cognitive and physical capacities, and broaden its mastery over the environment. As such, the notion of posthumanism implies a radical breaking off from, and reconceptualisation of, the state of being human. As neuroscientists, we aim to bring a neuroscientific perspective to this debate. Current scientific and technologic developments (related to brain and its augmentation) clearly demonstrate that what was formerly considered to be science fiction is slowly but firmly becoming a scientific reality.

While the presence or absence of consciousness plays the central role in the moral/ethical decisions when dealing with patients with disorders of consciousness (DOC), recently it is criticized as not adequate due to number of reasons, among which are the lack of the uniform definition of consciousness and consequently uncertainty of diagnostic criteria for it, as well as irrelevance of some forms of consciousness for determining a patient’s interests and wishes. In her article, Dr. Specker Sullivan reexamined the meaning of consciousness in the DOC taxonomy and proposed to go away from the routinely used clinical definition of consciousness as “wakeful awareness”, and adopt the meaning that is common in the Eastern tradition which is a form of “pure experience” (Specker Sullivan 2018). She further argued that understanding consciousness as a “pure experience” is ethically relevant for DOC patients. This suggestion is original, novel and important since it preserves the importance of the notion of consciousness for the clinical practice while simultaneously offering an additional ethical tool for the moral decisions in medicine. At the same time, without placing such Eastern notion in the Western tradition it is difficult to see how pure experience could be usefully operationalized to make sense in the clinical practice with DOC patients. It is so because pure experience is a subjective phenomenon which is completely inaccessible in noncommunicative DOC patients and also it does not express behaviorally (Monti et al 2010), therefore some objective-like operationalization is needed. This is why the fusion of Eastern and Western traditions is required to gain the full potential of Dr. Specker Sullivan’s suggestion. We propose that such fusion could be achieved on the basis of the Operational Architectonics (OA) theory of brain-mind functioning (Fingelkurts et al. 2010; 2013a) which suits ideally the purpose due its compatibility with both Western and Eastern traditions of consciousness.

The interaction between brain and language has been investigated by a vast amount of research and different approaches, which however do not offer a comprehensive and unified theoretical framework to analyze how brain functioning performs the mental processes we use in producing language and in understanding speech. This Special Issue addresses the need to develop such a general theoretical framework, by fostering an interaction among the various scientific disciplines and methodologies, which centres on investigating the functional architecture of brain, mind and language, and is articulated along the following main dimensions of research: (a) Language as a regulatory contour of brain and mental processes; (b) Language as a unique human phenomenon; (c) Language as a governor of human behaviour and brain operations; (d) Language as an organizational factor of ontogenesis of mentation and behaviour

Despite allowing for the unprecedented visualization of brain functional activity, modern neurobio-logical techniques have not yet been able to provide satisfactory answers to important questions about the relationship between brain and mind. The aim of this paper is to show how two different but complementary approaches, Mind Operational Semantics (OS) and Brain Operational Architectonics (OA), can help bridge the gap between a specific kind of mental activity—the higher-order reflective thought or linguistic thought—and brain. The fundamental notion that allows the two different ap-proaches to be jointly used under a common framework is that of operation. According to OS, which is based on introspection and linguistic data, the meanings of words can be analyzed in terms of elemental mental operations (EOMC), amongst which those of attention play a key role. Linguistic thought is made possible by special kinds of elements, which OS calls “correlators”, which have the function of tying together the other elements of thought, which OS calls “correlata” (a "correlational network” that is, a sentence, is so formed). Therefore, OS conceives of linguistic thought as a hierarchy of operations of increasing complexity. Likewise, according to OA, which is based on the joint analysis of cognitive and electromagnetic data (EEG and MEG), every conscious phenomenon is brought to existence by the joint operations of many functional and transient neuronal assemblies in the brain. According to OA, the functioning of the brain is always operational (made up of operations), and its structure is characterized by a hierarchy of operations of increasing complexity: single neurons, single assemblies of neurons, syn-chronized neuronal assemblies or Operational Modules (OM), integrated or complex OMs. The authors put forward the hypothesis that the whole level of OS’s description (EOMC, correlators, and correlational networks) corresponds to the level of OMs (or set of them) of different complexity within OA’s theory: EOMC could correspond to simple OMs, correlators to complex OMs and the correlational network to a set of simple and complex OMs. Finally, a set of experiments is proposed to verify the putative correspondence between OS and OA and prove the existence of an integrated continuum between brain and mind.

The discrepancy between syntax and semantics is a painstaking issue that hinders a better comprehension of the underlying neuronal processes in the human brain. In order to tackle the issue, we at first describe a striking correlation between Wittgenstein's Tractatus, that assesses the syntactic relationships between language and world, and Perlovsky's joint language-cognitive computational model, that assesses the semantic relationships between emotions and “knowledge instinct”. Once established a correlation between a purely logical approach to the language and computable psychological activities, we aim to find the neural correlates of syntax and semantics in the human brain. Starting from topological arguments, we suggest that the semantic properties of a proposition are processed in higher brain's functional dimensions than the syntactic ones. In a fully reversible process, the syntactic elements embedded in Broca's area project into multiple scattered semantic cortical zones. The presence of higher functional dimensions gives rise to the increase in informational content that takes place in semantic expressions. Therefore, diverse features of human language and cognitive world can be assessed in terms of both the logic armor described by the Tractatus, and the neurocomputational techniques at hand. One of our motivations is to build a neuro-computational framework able to provide a feasible explanation for brain's semantic processing, in preparation for novel computers with nodes built into higher dimensions.

Background and Objective: Understanding how trauma impacts the self-structure of individuals suffering from the Post-Traumatic Stress Disorder (PTSD) symptoms is a complex matter and despite several attempts to explain the relationship between trauma and the “Self”, this issue still lacks clarity. Therefore, adopting a new theoretical perspective may help understand PTSD deeper and to shed light on the underlying psychophysiological mechanisms. Methods: In this study, we employed the “three-dimensional construct model of the experiential selfhood” where three major components of selfhood (phenomenal first-person agency, embodiment, and reflection/narration) are related to three Operational Modules (OMs) of the self-referential brain network. These modules can be reliably estimated through operational synchrony analysis of the Electroencephalogram (EEG). Six individuals with PTSD symptoms and twenty-nine sex-, age- and demographic- (race, education, marital status) matched healthy controls underwent resting state EEG signal acquisition with the following estimation of the synchrony strength within every OM. Results: Our results indicate that subjects with PTSD symptoms had significantly stronger EEG operational synchrony within anterior and right posterior OMs as well as significantly weaker EEG operational synchrony within left posterior OM compared to healthy controls. Moreover, increased the functional integrity of the anterior OM was positively associated with hyperactivity symptoms, reduced synchrony of the left posterior OM was associated with greater avoidance, and increased right posterior OM integrity was positively correlated with intrusion and mood symptoms. Conclusion: The results are interpreted in light of the triad model of selfhood and its theoretical and clinical implications (including a new treatment approach) are discussed.

The target paper of Schoeller, Perlovsky, and Arseniev is an essential and timely contribution to a current shift of focus in neuroscience aiming to merge neurophysiological, psychological and physical principles in order to build the foundation for the physics of mind. Extending on previous work of Perlovsky et al. and Badre, the authors of the target paper present interesting mathematical models of several basic principles of the physics of mind, such as perception and cognition, concepts and emotions, instincts and learning. Their conceptualization helps to clarify the distinction between conscious and unconscious aspects of mind that is often neglected and further provide a clear description of the mental hierarchy, which extends from physical objects in the physical world to abstract ideas in the mental/subjective realm. While we agree that identification of a few fundamental principles is a first step toward developing the physics of the mind, and we concur with the selection of those principles in the target review paper, we think that the theory of the physics of mind would much benefit from considering also the most basic principles that are common for the physics/matter/brain and the mind/subjectivity/cognition. In this respect, such basic principles as time and space, as well as criticality, self-organization, and emergence seem to be the most interesting.

Dr. Vukov analyzing patients with disorders of consciousness, proposed that medical well-regarded policy recommendations cannot be justified by looking solely to patients’ actual levels of consciousness (minimally conscious state – MCS versus vegetative state – VS), but that they can be justified by looking to patients’ potential for consciousness. One objective way to estimate this potential (actual physical possibility) is to consider a neurophysiologically informed strategy. Ideally such strategy would utilize objective brain activity markers of consciousness/unconsciousness. The Operational Architectonics (OA) theory of brain-mind functioning is an example of such a strategy. Besides being mathematically simple, neurophysiologically accurate, and compatible with the cognitive/phenomenal perspectives on consciousness, application of OA strategy to quantitative EEG analysis of patients in VS and MCS revealed that the absence of consciousness in VS is paralleled by impairment of overall EEG operational architecture. Specifically, neuronal assemblies become smaller, their life span shortened, and they became highly unstable and functionally disconnected (desynchronized). At the same time, fluctuating (minimal) awareness in patients in MCS was paralleled by partial restoration of EEG operational architecture (increased size, life span, and stability of neuronal assemblies, together with an increased number and strength of functional connections among them), approaching the level found in healthy fully conscious participants. Moreover OA strategy to EEG analysis allowed predicting the emergence of consciousness in VS patients after six years following the brain trauma. Therefore, the OA methodology could reliably predict which patients may regain consciousness, and thus determine which patients may have the potential for consciousness.

First of all, we would like to gratefully thank all commentators for the attention and effort they have put into reading and responding to our review paper [this issue] and for useful observations that suggest novel applications for our framework. We understand and accept that some of our claims might appear controversial and raise skepticism, because the overall neural framework we have proposed is difficult to frame in established categories, given its strong multidisciplinary character. To make an example, Elsevier is publishing the British Neuroscience Association (BNA) 2017 Special Issue Collection. However, our paper could not fully fit in any of their Special Issues—attention, motivation, behavior; sensory and motor systems; novel treatments and translational neuroscience; genetics and epigenetics; learning and memory; neurodegenerative disorders and ageing; developmental neuroscience; neuronal, glial and cellular mechanisms; neuroendocrine and autonomic nervous systems; psychiatry and mental health; methods and techniques. Perhaps because our paper was mathematically, physically, biologically (neuroscientifically), and phenomenologically motivated from the start? Nevertheless, venturing in novel, fresh, testable proposals is badly needed in contemporary neuroscience, so to break into “the utter darkness of the inner mechanism of psychic acts… during the production of the concomitant phenomena of perception and thought, namely, feelings, consciousness and volition”—as Cajal had already observed in his opus magnus ‘Textura’. But as he soberly confessed: “This ideal is still very distant” (Ramon y Cajal, 1899-1904, p. 1,141). In the pursuit of that very ideal, neuroscience and psychology have had, and continue to have, a plethora of movements and schools of thought: behaviorism, cognitivism, neural Darwinism, social constructivism, Bayesian optimization...In our paper, we propose to go a step further, via the notion of topodynamics, towards “projectionism.” In what follows, trying to elucidate the main features of this Emperor’s new clothing, we proceed with the responses to the comments received.

The brain displays both the anatomical features of a vast amount of interconnected topological mappings as well as the functional features of a nonlinear, metastable system at the edge of chaos, equipped with a phase space where mental random walks tend towards lower energetic basins. Nevertheless, with the exception of some advanced neuro-anatomic descriptions and present-day connectomic research, very few studies have been addressing the topological path of a brain embedded or embodied in its external and internal environment. Herein, by using new formal tools derived from algebraic topology, we provide an account of the metastable brain, based on the neuro-scientific model of Operational Architectonics of brain-mind functioning. We introduce a “topodynamic” description that shows how the relationships among the countless intertwined spatio-temporal levels of brain functioning can be assessed in terms of projections and mappings that take place on abstract structures, equipped with different dimensions, curvatures and energetic constraints. Such a topodynamical approach, apart from providing a biologically plausible model of brain function that can be operationalized, is also able to tackle the issue of a long-standing dichotomy: it throws indeed a bridge between the subjective, immediate datum of the naïve complex of sensations and mentations and the objective, quantitative, data extracted from experimental neuro-scientific procedures. Importantly, it opens the door to a series of new predictions and future directions of advancement for neuroscientific research.

The target paper of Dr. Feinberg is a testimony to an admirable scholarship and deep thoughtfulness. This paper develops a general theoretical framework of nested hierarchy in the brain that allows production of mind with consciousness. The difference between non-nested and nested hierarchies is the following. In a non-nested hierarchy the entities at higher levels of the hierarchy are physically independent from the entities at lower levels and there is strong constraint of higher upon lower levels. In a nested hierarchy, higher levels are physically composed of lower levels, and there is no central control of the system resulting in weak constraint of higher upon lower levels.

The default mode network (DMN) has been consistently activated across a wide variety of self-related tasks, leading to a proposal of the DMN’s role in self-related processing. Indeed, there is limited fMRI evidence that the functional connectivity within the DMN may underlie a phenomenon referred to as self-awareness. At the same time, none of the known studies have explicitly investigated neuronal functional interactions among brain areas that comprise the DMN as a function of self-consciousness loss. To fill this gap, EEG operational synchrony analysis was performed in patients with severe brain injuries in vegetative and minimally conscious states to study the strength of DMN operational synchrony as a function of self-consciousness expression. We demonstrated that the strength of DMN EEG operational synchrony was smallest or even absent in patients in vegetative state, intermediate in patients in minimally conscious state and highest in healthy fully self-conscious subjects. At the same time the process of decoupling of operations performed by neuronal assemblies that comprise the DMN was highest in patients in vegetative state, intermediate in patients in minimally conscious state and minimal in healthy fully self-conscious subjects. The DMN’s frontal EEG operational module had the strongest decrease in operational synchrony strength as a function of selfconsciousness loss, when compared with the DMN’s posterior modules. Based on these results it is suggested that the strength of DMN functional connectivity could mediate the strength of self-consciousness expression. The observed alterations similarly occurred across EEG alpha, beta1 and beta2 frequency oscillations. Presented results suggest that the EEG operational synchrony within DMN may provide an objective and accurate measure for the assessment of signs of self-(un)consciousness in these challenging patient populations. This method therefore, may complement the current diagnostic procedures for patients with severe brain injuries and, hence, the planning of a rational rehabilitation intervention.

Background: Patients in a vegetative state pose problems in diagnosis, prognosis and treatment. Currently, no prognostic markers predict the chance of recovery, which has serious consequences, especially in end-of-life decision-making. Objective: We aimed to assess an objective measurement of prognosis using advanced electroencephalography (EEG). Methods: EEG data (19 channels) were collected in 14 patients who were diagnosed to be persistently vegetative based on repeated clinical evaluations at 3 months following brain damage. EEG structure parameters (amplitude, duration and variability within quasi-stationary segments, as well as the spatial synchrony between such segments and the strength of this synchrony) were used to predict recovery of consciousness 3 months later. Results: The number and strength of cortical functional connections between EEG segments were higher in patients who recovered consciousness (P < .05 – P < .001) compared with those who did not recover. Linear regression analysis confirms that EEG structure parameters are capable of predicting (P = .0025) recovery of consciousness 6 months post-injury, whereas the same analysis failed to significantly predict patient outcome based on aspects of their clinical history alone (P = .629) or conventional EEG spectrum power (P = .473). Conclusions: The result of this preliminary study demonstrates that structural strategy of EEG analysis is better suited for providing prognosis of consciousness recovery than existing methods of clinical assessment and of conventional EEG. Our results may be a starting point for developing reliable prognosticators in patients who are in vegetative state, with the potential to improve their day-to-day management, quality of life, and access to early interventions.

In this paper we aim to show that phenomenal consciousness is realized by a particular level of brain operational organization and that understanding human consciousness requires a description of the laws of the immediately underlying neural collective phenomena, the nested hierarchy of electromagnetic fields of brain activity – operational architectonics. We argue that the subjective mental reality and the objective neurobiological reality, although seemingly worlds apart, are intimately connected along a unified metastable continuum and are both guided by the universal laws of the physical world such as criticality, self-organization and emergence.

The understanding of the interrelationship between brain and mind remains far from clear. It is well established that the brain's capacity to integrate information from numerous sources forms the basis for cognitive abilities. However, the core unresolved question is how information about the "objective" physical entities of the external world can be integrated, and how unifiedand coherent mental states (or Gestalts) can be established in the internal entities of distributed neuronal systems. The present paper offers a unified methodological and conceptual basis for a possible mechanism of how the transient synchronization of brain operations may construct the unified and relatively stable neural states, which underlie mental states. It was shown that the sequence of metastable spatial EEG mosaics does exist and probably reflects the rapid stabilization periods of the interrelation of large neuron systems. At the EEG level this is reflected in the stabilization of quasi-stationary segments on corresponding channels. Within the introduced framework, physical brain processes and psychological processes are considered as two basic aspects of a single whole informational brain state. The relations between operational process of the brain, mental states and consciousness are discussed.

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.