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心脏骤停期间意识报告是发现意识本质的关键吗?

Do reports of consciousness during cardiac arrest hold the key to discovering the nature of consciousness?

作者信息

Parnia Sam

机构信息

Consciousness Research Group, School of Medicine, University of Southampton, UK.

出版信息

Med Hypotheses. 2007;69(4):933-7. doi: 10.1016/j.mehy.2007.01.076. Epub 2007 Apr 24.

Abstract

Perhaps the biggest challenge facing neuroscience at the dawn of the 21st century is understanding the relationship between mind, consciousness and the brain. Editorials in recent years have highlighted the difficulties faced by cognitive neuroscience in attempting to answer questions regarding the nature, as well as the mechanism by which subjective experiences and our sense of consciousness may arise through neuronal processes. Current scientific views regarding the origin of consciousness vary widely and range from an 'epiphenomenon' arising from neuronal networks, to neuronal quantum processes, to a separate undiscovered scientific entity. Although there has been a lack of experimental studies to test these theories, recent studies have indicated that the study of the human mind during cardiac arrest may hold the key to solving the mystery of consciousness. Four published prospective studies of cardiac arrest survivors have demonstrated that paradoxically human mind and consciousness may continue to function during cardiac arrest. This is despite the well demonstrated finding that cerebral functioning as measured by electrical activity of the brain ceases during cardiac arrest, thus raising the possibility that human mind and consciousness may continue to function in the absence of brain function. In this article the broad theories for the causation of consciousness are reviewed as well as a novel method to study consciousness during cardiac arrest. This may provide a unique experimental method to determine the nature of human mind and consciousness as well as its relationship with the brain.

摘要

在21世纪初,神经科学面临的最大挑战或许是理解心智、意识与大脑之间的关系。近年来的社论强调了认知神经科学在试图回答有关主观体验和我们的意识感可能通过神经元过程产生的本质及机制问题时所面临的困难。当前关于意识起源的科学观点差异很大,从神经网络产生的“副现象”到神经元量子过程,再到一个尚未被发现的单独科学实体。尽管缺乏实验研究来检验这些理论,但最近的研究表明,对心脏骤停期间人类心智的研究可能是解开意识之谜的关键。四项已发表的关于心脏骤停幸存者的前瞻性研究表明,矛盾的是,人类心智和意识在心脏骤停期间可能会继续运作。尽管有充分的证据表明,在心脏骤停期间,通过大脑电活动测量的大脑功能会停止,这就增加了人类心智和意识可能在没有大脑功能的情况下继续运作的可能性。在本文中,我们回顾了意识产生的广泛理论以及一种在心脏骤停期间研究意识的新方法。这可能提供一种独特的实验方法来确定人类心智和意识的本质及其与大脑的关系。

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