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A diagnostic sign in states of apparent unconsciousness.

Deviation of the eyes towards the ground with the patient lying on each side is proposed as a diagnostic sign in psychogenically mediated states resembling coma or epilepsy. Six cases are described in which the sign was elicited.

Adolescent↗

Unconscious learning. Conditioning to subliminal visual stimuli.

The role of consciousness in Pavlovian conditioning was examined in two experiments in which visually masked neutral words were used as the conditioned stimuli (CS) and an electric shock as the unconditioned stimulus (US). The inter-stimulus interval (ISI) was established individually. A detection threshold was used in Experiment 1 and an identification threshold in Experiment 2. The primary dependent variable was the skin conductance response (SCR). Results showed that the conditioned response (CR) was acquired by 58% of participants who perceived stimuli above the identification threshold, 50% of participants who perceived stimuli below the detection threshold, and 11% of participants who perceived stimuli below the identification threshold, but above the detection threshold. These results suggest that consciousness of the CS-US contingency is not a necessary condition for acquiring a CR of the autonomous nervous system (ANS).

Adolescent↗

Facilitated assessment of unconsciousness from morphologic changes in the bilateral posterior tibial nerve cortical somatosensory evoked potential under total intravenous propofol anesthesia during spine surgery.

OBJECTIVE: To describe a unique morphologic feature of the bilateral posterior tibial nerve cortical somatosensory evoked potential, the S-wave, which varies systematically with propofol infusion rate and which appears to be useful in guiding adequate propofol concentration levels during spine surgery. METHODS: Two illustrative cases were selected from a pool of 15,000 pediatric and adult patients (ages 8-85 years) who were undergoing corrective spine surgery in operating rooms of university and community hospitals. Anesthesia was maintained with a continuous intravenous infusion of propofol (125-225 microg/kg/min) along with intermittent boluses of narcotic and midazolam (1.0-2.0 mg) as needed. Characteristic metamorphosis of the bilateral posterior tibial nerve cortical somatosensory evoked potential, highlighted by the emergence of an additional middle-latency component labeled the S-wave, served as a neurophysiological marker of "light" propofol anesthesia prompting elevation of propofol infusion rate or bolus injection. RESULTS: The S-wave was routinely abolished with increased propofol infusion rate or bolus injection. In all instances increased propofol concentration levels produced a characteristic morphologic change in the posterior tibial nerve cortical somatosensory evoked potential consistent with a return to adequate anesthetic depth. Selected cases presented herein compare the S-wave technique to BIS and illustrate the usefulness of the S-wave in identifying inadequate depth of propofol anesthesia. CONCLUSIONS: The bilateral posterior tibial nerve cortical somatosensory evoked potential changes its morphology in predictable fashion with decreased depth of propofol anesthesia, allowing for anticipation of imminent anesthetic "lightening." It serves as a useful cross-check to Bispectral Index (BIS) or other "level of consciousness" EEG-based algorithms for monitoring depth of propofol anesthesia during prolonged corrective spine surgery.

Adult↗

[Unconscious?].

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Diagnosis, Differential↗

Intuition, affect, and personality: unconscious coherence judgments and self-regulation of negative affect.

According to personality systems interaction theory, a negative mood was expected to reduce access to extended semantic networks and to reduce performance on intuitive judgments of coherence for participants who have an impaired ability to down-regulate negative affect (i.e., state-oriented participants). Consistent with expectations, state-oriented participants reporting higher levels of perseverating negative mood had a reduced discrimination between coherent and incoherent standard word triples (Study 1) and individually derived word triples describing persons (Study 2). Participants who are able to down-regulate negative affect (i.e., action-oriented participants) did not show this tendency. In addition, Study 2 revealed a dissociation between state orientation and Neuroticism that is discussed in terms of a functional difference between the two constructs.

Adult↗

Toward unbiased measurement of conscious and unconscious memory processes within the process dissociation framework.

L.L. Jacoby's (1991) process dissociation framework has been welcomed as a tool for differentiating controlled and automatic cognitive processes. Several variants of the original process dissociation measurement model are integrated in this article, and it is shown that the model ignores guessing and, hence, response bias. An extension of the original model is suggested that includes guessing parameters. The original model and the extended model are evaluated empirically. In 3 experiments using a yes-no recognition task, response bias was manipulated in various ways. The original model falsely attributes effects of response biases to either controlled or uncontrolled processes or to both. The extended model, in contrast, results in estimates of the contributions of controlled and uncontrolled memory processes that are relatively unaffected by response biases. The extended model is recommended as a measurement tool.

Adult↗