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本文引用的文献

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Are the irreversibly comatose still here? The destruction of brains and the persistence of persons.不可逆昏迷的病人还在这吗?大脑的破坏与个体的延续。
J Med Ethics. 2020 Feb;46(2):99-103. doi: 10.1136/medethics-2019-105618. Epub 2019 Oct 30.
2
Comprehensive Systematic Review Update Summary: Disorders of Consciousness: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology; the American Congress of Rehabilitation Medicine; and the National Institute on Disability, Independent Living, and Rehabilitation Research.全面系统综述更新摘要:意识障碍:美国神经病学学会指南制定、传播和实施小组委员会;美国康复医学会;以及国家残疾、独立生活和康复研究所在此报告。
Arch Phys Med Rehabil. 2018 Sep;99(9):1710-1719. doi: 10.1016/j.apmr.2018.07.002. Epub 2018 Aug 8.
3
Does Consciousness Disappear in Dreamless Sleep?无梦睡眠中意识会消失吗?
Trends Cogn Sci. 2016 Dec;20(12):871-882. doi: 10.1016/j.tics.2016.09.006. Epub 2016 Oct 18.
4
The direct pathway from the brainstem reticular formation to the cerebral cortex in the ascending reticular activating system: A diffusion tensor imaging study.上行网状激活系统中从脑干网状结构到大脑皮层的直接通路:一项扩散张量成像研究。
Neurosci Lett. 2015 Oct 8;606:200-3. doi: 10.1016/j.neulet.2015.09.004. Epub 2015 Sep 9.
5
Aneurysmal subarachnoid hemorrhage causes injury of the ascending reticular activating system: relation to consciousness.动脉瘤性蛛网膜下腔出血导致上行网状激活系统损伤:与意识的关系。
AJNR Am J Neuroradiol. 2015 Apr;36(4):667-71. doi: 10.3174/ajnr.A4203. Epub 2015 Jan 8.
6
Disconnection of the ascending arousal system in traumatic coma.创伤性昏迷中上行激醒系统的断开。
J Neuropathol Exp Neurol. 2013 Jun;72(6):505-23. doi: 10.1097/NEN.0b013e3182945bf6.
7
Neuroanatomic connectivity of the human ascending arousal system critical to consciousness and its disorders.人类上行激醒系统的神经解剖连接对意识及其障碍至关重要。
J Neuropathol Exp Neurol. 2012 Jun;71(6):531-46. doi: 10.1097/NEN.0b013e3182588293.
8
Are people in a persistent vegetative state conscious?处于持续性植物状态的人有意识吗?
Monash Bioeth Rev. 2009 Jun;28(2):12-1-12.
9
Waking up the brain: a case study of stimulation-induced wakeful unawareness during anaesthesia.唤醒大脑:麻醉中刺激诱导的清醒无意识案例研究。
Prog Brain Res. 2009;177:125-45. doi: 10.1016/S0079-6123(09)17710-5.
10
Alzheimer's disease and implicit memory.阿尔茨海默病与内隐记忆
Arq Neuropsiquiatr. 2009 Jun;67(2A):334-42. doi: 10.1590/s0004-282x2009000200034.

无生存记忆:个人身份与上行网状激活系统。

Memories without Survival: Personal Identity and the Ascending Reticular Activating System.

机构信息

University of Cambridge, Cambridge, United Kingdom.

出版信息

J Med Philos. 2023 Sep 14;48(5):478-491. doi: 10.1093/jmp/jhad028.

DOI:10.1093/jmp/jhad028
PMID:37314862
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10501180/
Abstract

Lockean views of personal identity maintain that we are essentially persons who persist diachronically by virtue of being psychologically continuous with our former selves. In this article, I present a novel objection to this variant of psychological accounts, which is based on neurophysiological characteristics of the brain. While the mental states that constitute said psychological continuity reside in the cerebral hemispheres, so that for the former to persist only the upper brain must remain intact, being conscious additionally requires that a structure originating in the brainstem-the ascending reticular activating system-be functional. Hence, there can be situations in which even small brainstem lesions render individuals irreversibly comatose and thus forever preclude access to their mental states, while the neural correlates of the states themselves are retained. In these situations, Lockeans are forced to regard as fulfilled their criterion of diachronic persistence since psychological continuity, as they construe it, is not disrupted. Deeming an entity that is never again going to have any mental experiences to be a person, however, is an untenable position for a psychological account to adopt. In their current form, Lockean views of personal identity are therefore incompatible with human neurophysiology.

摘要

洛克式的个人身份观认为,我们本质上是通过与过去的自己保持心理连续性而持续存在的人。在本文中,我提出了一种新的反对这种心理解释变体的观点,这种观点基于大脑的神经生理学特征。虽然构成这种心理连续性的心理状态存在于大脑半球中,因此为了让过去的自我持续存在,只有大脑上部必须保持完整,但意识还需要一个起源于脑干的结构——上行网状激活系统——发挥功能。因此,可能会出现这样的情况:即使是小的脑干损伤也会使个体不可逆地陷入昏迷,从而永远无法接触到他们的心理状态,而这些状态本身的神经相关物仍然存在。在这些情况下,洛克主义者被迫认为他们的历时持续标准已经得到满足,因为他们所构想的心理连续性并没有被打破。然而,对于心理解释来说,将一个永远不会再有任何心理体验的实体视为一个人,是一种站不住脚的立场。因此,洛克式的个人身份观在目前的形式下与人类神经生理学是不相容的。