Engaging in self-narrative is often touted as a powerful antidote to the bad effects of illness. However, there are various examples of what may broadly be termed “aversion” to illness narrative. I group these into three kinds: aversion to certain types of illness narrative; aversion to illness narrative as a whole; and aversion to illness narrative as an essentially therapeutic endeavor. These aversions can throw into doubt the advantages claimed for the illness narrator, including the key benefits of repair to (...) the damage illness does to identity and life-trajectory. Underlying these alleged benefits are two key presuppositions: that it is the whole of one’s life that is narratively unified, and that one’s identity is inextricably bound up with narrative. By letting go of these assumptions, illness narrative advocates can respond to the challenges of narrative aversions. (shrink)

The main idea in this series of essays is that subjective awareness depends upon the intralaminar nuclei of each thalmus. This implies that the internal structure and external relations of ILN make subjective awareness possible. An array of material relevant to this proposal was briefly reviewed in Part I. This Part II considers in more detail some semantic aspects and a bit of philosophic background as these pertain to propositions 0, 1, and 2 of Part I. Part II should be (...) read in conjunction with Part I. (shrink)

How certain neural mechanisms momentarily endow with the subjective awareness percepts and affects represented elsewhere is more likely to be clarified when structures essential to Mc are identified. The loss of C with bilateral thalmic lesions involving the intralaminar nuclei contrasts with retention of C after large cortical ablations depriving C of specific contents. A role of ILN in the perception of primitive sensations is suggested by their afference of directly ascending pathways. A role for ILN in awareness of cortical (...) activity is suggested by their widespread afference from cortex, a property shared with striatum. A role for ILN in volition is suggested by their heavy projection to striatum. Unlike striatum, ILN also project widely to almost all neocortex, enabling an effect on ideation; this last property is in common with other structures but none of them has the same direct cortical afference. And passage through the reticular nucleus of ILN efferents to cortex could impact the attention-selective action of nRt. It is suggested that the quickest route to a better understanding of C involves more intensive study of ILN. No other structure seems, in the light of our current knowledge, a more likely site for Mc. (shrink)

We argue that the current known anatomy of connections between the intralaminar nuclei of the thalmus and visual cortical areas makes it unlikely that neuronal activity in the ILN mediates visual awareness.

1.1 Bilateral damage to the thalamus abolishes waking consciousness. The critical site of this damage is believed to be a relatively small cluster of neurons, about the size of a pencil eraser on either side of the brain's midline, called the Intra-Laminar Nuclei (ILN) because they are located inside the white layers (laminae) that divide the two thalami into their major groupings of nuclei. The fact that bilateral damage to the ILNs abolishes consciousness is very unusual. There is no other (...) site in the brain that has this property, except the reticular formation in the brain stem. In contrast, huge chunks of cortex can be damaged without abolishing the STATE of consciousness. (Cortical damage does change the CONTENTS of consciousness, of course). (shrink)

RésuméJohn Searlea récemment soutenu que le cerveau ne peut pas être un ordinateur (non connexionniste). Son argument est que les vrais systèmes physiques comme les cerveaux fonctionnent à la causalité, tandis que les opérations computationnelles ne sont pas causales, mais sont plutôt des séquences formelles qui requièrent un interprète extérieur pour lew existence en tant que systèmes formels. Les vrais systèmes physiques, par contre, ne requièrent aucune interprétation pour lew existence comme systèmes physiques opérationnels.Contrairement à Searle, je soutiens qu'iln'y a (...) pas de démarcation nette entre notre application des formalismes mathématiques standard à des phénomènes physiques comme les oscillations, et notre application des formalismes computationnels aux divers phénomènes physiques qui sont, effectivement ou potentiellement, bien décrits et expliqués pas ces formalismes. (shrink)