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UMEÅ PSYCHOLOGY SUPPLEMENT REPORTS Supplement No. 5 2004

NEUROIMAGING CONSCIOUSNESS:

WHAT HAPPENS IN THE BRAIN WHEN WE BECOME AWARE OF WHAT WE PERCEIVE?

Johan Eriksson

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Umeå Psychology Supplement Reports Acting Editor

Bo Molander Associate Editors Anders Böök Eva Sundin

Ann-Louise Söderlund Editorial Board Kerstin Armelius Anders Böök Bo Molander Timo Mäntylä Eva Sundin

This issue of Umeå Psychology Supplement Reports, and recent issues of other departmental reports are available as pdf-files. See the home page of Department of Psychology (http://www.psy.umu.se/forskning/

publikationer/inst-rapportserie/UPSR.htm).

Department of Psychology Umeå University

SE-901 87 Umeå, Sweden ISSN 1651-565X

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Abstract

Eriksson, J. (2004) Neuroimaging consciousness: What happens in the brain when we become aware of what we perceive? Department of Psychology, Umeå University, S-901 87 Umeå Sweden

Although consciousness has been studied since the beginning of the history of psychology, how the brain implements consciousness is seen as one of the last great mysteries. This thesis investigates neural correlates of consciousness by measuring brain activity while specific contents of consciousness are defined and maintained. Study 1 showed that distinct but similar brain regions are activated for the initial creation of a percept and for sustaining that percept over time.

Specifically, frontal and parietal regions were activated during both temporal aspects of consciousness. Study 2 investigated the generality of this activation pattern for consciousness in different sensory modalities, and showed that frontal regions were commonly activated for visual and auditory awareness whereas posterior activity was modality specific. However, frontal and parietal regions were jointly activated for both modalities during sustained perception. These results indicate that frontal regions interact with posterior, sensory-specific regions to instantiate a conscious percept. The percept is then maintained by a more general network including frontal and parietal regions.

This thesis for the licentiate degree is based on the following studies:

Eriksson, J., Larsson, A., Riklund Åhlström, K., & Nyberg, L. (2004). Visual consciousness:

Dissociating the neural correlates of perceptual transitions from sustained perception with fMRI.

Consciousness and Cognition, 13, 61-72.

Eriksson, J., Larsson, A., Riklund Åhlström, K., & Nyberg, L. (2004). Similar frontal and distinct posterior cortical regions mediate visual and auditory perceptual awareness. Department of Psychology, Umeå University.

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Acknowledgements

I am grateful for the support of a number of people during the work leading up to this thesis. I would like to thank: My super supervisor Lars Nyberg for his continuous support; Anne Larson for persevering with my questions and requests; fellow doctoral students and other staff at the Department of Psychology for creating a pleasant working environment. Special thanks to my wife Pernilla and my son Edvin, and to the rest of my family and friends.

Umeå, December, 2004

Johan Eriksson

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Contents

Introduction………....5

Background ………...5

I. Defining consciousness ...………....5

II. You can’t do that! ………..6

III. The “let’s do it anyway” approach……….7

IV. A brief overview of some neural correlates of consciousness………...9

Objective………...….11

Empirical studies………...….11

Study 1………..11

Study 2………..13

Conclusions……….…...14

References………...17

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Neuroimaging Consciousness:

What happens in the brain when we become aware of what we perceive?

Johan Eriksson

INTRODUCTION

“If you want to think about consciousness, perplexity is necessary – mind-boggling, brain- hurting, I can’t bear to think about this stupid problem any more perplexity.“

Blackmore, 2004, p. 1)

What are you conscious of right now? Hopefully, you are barely conscious of anything else but the words on this page and the exciting feeling of reading a thesis in psychology. Trying to describe the content of consciousness you may say: “printed black symbols on a white paper”

(your visual experience), “and a tingling in the chest” (the experience of excitement and enthusiasm). Why do you have those experiences? How is it that neuronal events in your brain (supposedly) has the properties of providing you with those experiences rather than no experiences at all? This thesis intends to investigate the relation between consciousness and the brain. This is done through two fMRI (functional magnetic resonance imaging) studies that explore what parts of the brain are activated when specific contents of consciousness are defined and maintained.

BACKGROUND

Consciousness has been a focus for studies on and of during the history of psychology (Leahey, 2000). Although studies of consciousness was an initial driving force for defining psychology as an independent discipline from philosophy, later trends such as behaviourism completely shunted the subject. Lately a new surge of interest has been building in relation to the growing field of cognitive neuroscience, and studies of how the brain implements consciousness are becoming increasingly frequent with the availability of modern neuroimaging techniques.

“After almost a century of neglect, consciousness has become a major focus for research. Each month new findings appear in leading journals. In the coming century this new ferment is likely to reshape our understanding of mind and brain in the most basic way.”

(Baars & Banks, 2003, p. ix)

Studying consciousness is essential, because without it psychology as a scientific discipline will always be incomplete. However, different people tend to use the term in different ways, so let us begin with an attempt to specify what consciousness is, or at least how it will be defined in this thesis.

I. Defining consciousness

The term consciousness can be used in a few different ways (Zeman, 2001): a) In reference to the global state of mind, being conscious simply means that you are awake as opposed to asleep or in a coma. b) Self-conscious is often used with reference to an egocentric perspective, a contrast between you and other environmental entities, and a sense of “self”. c) Consciousness as

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experience is what will be relevant in this thesis, and means that when you are conscious of something you have a subjective experience of “seeing” (or “hearing” etc.) it1. This is a rather informal, common-sense way of defining the concept, so to make sure that there are no mistakes of what is meant by “consciousness” throughout the thesis, allow me to cite a few versions of it:

“…fundamentally an organism has conscious mental states if and only if there is something that it is like to be that organism – something it is like for the organism.”

(Nagel, 1974, p. 436)

This version is widely cited and should therefore be representative of what a majority of people in the field considers consciousness to be. Another version that is also often cited is Searle’s, which may be a bit more accessible and clear:

“’consciousness’ refers to those states of sentience or awareness that typically begin when we wake from a dreamless sleep and continue through the day until we fall asleep again, die, go into a coma or otherwise become ‘unconscious’.”

(Searle, 1998, p. 1936)

Some have found it useful to further distinguish higher order consciousness from the more

“primary” (Revonsuo, 2000) form of consciousness as experience. The higher form is characterized by the possibility of reflecting upon the primary consciousness, and is called reflective (Revonsuo, 2000), or extended (Damasio, 1999) consciousness.

As can be seen from these different definitions, none are precise in an analytical sense.

However, it has been noted that analytical definitions (e.g. water is a chemical compound made of two hydrogen atoms and an oxygen atom) usually come at the end of a scientific investigation, not at the beginning (Searle, 1998). The common-sense definitions above are hopefully sufficient to avoid any misconceptions of what the present subject of study is meant to be.

Having a conscious experience is synonymous with being aware of something. A conscious experience is characterized by its phenomenal content, of what we are aware of. What follows from this statement is that when we become aware of something, the content of consciousness has shifted and a new conscious experience is instantiated. It is in some sense meaningful to differentiate between sensory awareness and perceptual awareness, where sensory awareness refers to the experience of “seeing at all” and perceptual awareness refers to seeing “something in particular”. However, this should not be taken as different types of consciousness but rather be used as a description of the content of consciousness, analogous to the difference between hearing and seeing. Both sensory and perceptual awareness seem to describe a conscious visual experience, although the content in the latter is more complex. Both can hence be incorporated in the term primary consciousness. The aim of the thesis is to examine what happens in the brain when we become perceptually aware of something.

II. You can’t do that!

There are some aspects of studying the neurophysiology of consciousness that needs to be addressed. The first is the subjective character of consciousness and the second is the alleged irreducibility of consciousness.

Subjectivity and consciousness. Supposedly, no one can know what it feels like for someone else to have a certain experience. The intrinsic subjectivity of our experiences seems to be an obstacle

1 The ”having an experience” is not meant to require a sense of “I as a spectator”, which would amount to self- consciousness. For example, it seems intuitive to think of some animals as having conscious experiences without them necessarily having a conception of themselves as individuals, i.e. being self-conscious.

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for making an objective science of it. However, the point has been made that one can have an objective science about something that is ontologically subjective (Searle, 1998). That is, even though a conscious experience only exists in and for a person, this experience can still be scientifically sound material for investigation. The key is to separate ontological and epistemological subjectivity. Whereas ontological subjectivity refers to the fact that consciousness exists within the brains of individuals (presumably), epistemological subjectivity refers to knowledge that is the personal view of one person, and may depend on preferences, attitudes or prejudices. The goal of a scientific enterprise is to gain knowledge that is not subjective in this way, but rather can be agreed upon by the scientific community. For example, such and such brain activity causes such and such conscious experiences.

The consequence of a subjective ontology is that we have to rely on behavioural responses such as button-presses or speaking, in order to study the object of interest. However, behaviour can be displayed without reflecting an underlying conscious experience, and one should be careful when interpreting behaviour as an indicator of consciousness. We therefore need to agree on beforehand on what behaviour represents a certain experience. These “pre-experimental bridging principles” (Chalmers, 1998) serve to bridge the gap between the subjective ontology and our strive towards an objective epistemology.

The irreducibility of consciousness. A more serious challenge to a neural science of consciousness is that consciousness appears to be irreducible. This means that it seems impossible to describe a subjective experience in terms of physical processes or properties without leaving out something essential, namely what it feels like. An argument against a reduction of consciousness was made by Nagel (1974), where the core of his argumentation is the feeling of experiencing something. This feeling is strongly connected to an organism’s point of view. He exemplifies this with a short description of a bat, and how a bat perceives the world. Some bat species uses sonar to navigate and catch prey. Although bats are mammals and fairly close to humans phylogenetically, we have nothing resembling sonar and can therefore not understand what it is like to be a bat. We may try to imagine this, but it would only tell us what it would be like for us to be a bat. Nagel wants to know what it feels like for a bat to be a bat. This argument is not the same as the subjectivity of experiences described above. According to Nagel there is no trouble at all to use subjective descriptions as long as we can relate to them. That is, you can know what it feels like (perceptually) for me when I see a red rose, because you know how you feel when you see one and our nervous systems are sufficiently similar for you to extrapolate your experience to mine (i.e. use the pre-experimental bridging principles wisely and you will be fine). But you cannot relate to a bat, because the bat is too different from you. The fact that we have to rely on a similarity between viewpoints to describe consciousness, that we cannot describe it without referring to our own experiences, is what makes the reduction difficult. A functionalistic description of consciousness will not do, according to Nagel, because every functional description can be implemented in a machine. The machine would then do everything a human does according to the description, but without there being something for the machine to execute the functions. The reason is that when we make such a description we let go of the viewpoint by necessity, and the viewpoint, as we have seen, is essential.

“If the subjective character of experience is fully comprehensible only from one point of view, then any shift to greater objectivity – that is, less attachment to a specific viewpoint – does not take us nearer to the real nature of the phenomenon: it takes us farther away from it.”

(Nagel, 1974, p. 444-445).

Nagel also points out that this does not mean that physicalism is false. It only states that, as physicalism stands today, we cannot understand it. According to Nagel, we do not have the proper concept or theory for it to make sense. Others have even argued that humans lack the cognitive abilities required to understand consciousness, much as monkeys cannot understand particle physics (McGinn, 1997). There are both older (Leibniz, 1840/1965) and more recent

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(Jackson, 1986) arguments against a reduction of consciousness, and they tend to implicate a modern form of dualism (Papineau & Selina, 2000). However, reduction as a term is not without its quirks and has a tendency to be misused (Churchland, 2002).

“When we study consciousness scientifically, I believe we should forget about our old obsession with reductionism and seek causal explanations. What we want is a causal explanation of how brain processes cause our conscious experiences.”

(Searle, 1998, p. 1941)

Based on the above argumentation I conclude that i) the subjective nature of consciousness does not prevent us from investigating it scientifically, ii) a reduction of consciousness to neurophysiology is seen as impossible by a number of distinguished philosophers. However, a general trend in cognitive neuroscience is to ignore naysayers and simply see how far we can get.

III. The “let’s do it anyway” approach

If one wants to describe consciousness in terms of brain activity, it seems reasonable to consider consciousness to be completely determined by the physiology of the brain. This “astonishing hypothesis” (Crick, 1994) means that there is no need for anything extraphysical to explain the phenomenon of consciousness. Implications from this standpoint are that consciousness is determined by its physical implementation, and that there cannot be a change in a conscious state without a corresponding change in the physical system implementing that conscious state. The previous paragraph (II) indicates that there may be possible problems with this approach.

However, I find myself in a mental Gordian knot when trying to make sense of all aspects and opinions related to the implications from a possible neural-based causal theory of consciousness, and as the opening quote suggests, I’m not alone. Instead of getting trapped in philosophical quarrels, Crick and Koch (2003) have suggested that we look for the neural correlates of consciousness (NCC) and use this as a framework. If we can specify what brain processes specifically correlate with conscious experiences, we may be in a position to describe these correlations in causal terms. This may then make the problem of why things feel a certain way, a bit clearer.

Brain activity can be described at many different levels. Crick and Koch (2003) are pushing for a description of the NCC at the neuronal level, but there are a few difficulties related to measuring brain activity in this detail. One is that we are mainly interested in the consciousness of human beings, and while single-cell recordings can be made on humans in relation to certain rare neurosurgical procedures, they are mostly done on experimental animals. Personally, I am willing to assume that primates are conscious and that our nervous system is similar enough to be comparable in terms of perceptual awareness. However, using human subjects is preferable because it avoids the problem of animal consciousness (Dennett, 1999). Another problem is that while single-cell recordings have an extremely high spatial and temporal resolution, it is limited to measuring a very restricted area of the brain at a given time. It is quite possible that consciousness depends on cooperation between different brain areas (Lumer & Rees, 1999), a scenario that single-cell recordings will have trouble detecting. Based on these arguments, it seems reasonable to parallel the search for the NCC with an instrument that measures brain activity at a global level. While fMRI (functional magnetic resonance imaging) does not have spatial resolution matching single-cell recordings, it is the best non-invasive alternative with a possible resolution of a few millimetres. Moreover, it has the capacity to measure the whole brain simultaneously, and is preferably done on human subjects. The temporal resolution is fairly limited however, and fMRI is therefore insensitive to neural synchronization and oscillation, aspects of neural activity that has been hypothesized to be important for consciousness (Singer, 2000). Nevertheless, fMRI seems like an excellent measuring device to characterize what parts of the brain are important for

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consciousness, and possibly how these parts interact. This is the empirical method used in the present thesis.

IV. A brief overview of some neural correlates of consciousness

Blindsight is a condition where people can use visual information although they cannot see. This strange affliction is a result of damage to the part of cortex that is the principal recipient of neural signals from the eye, primary visual cortex (V1). A damaged V1 renders a person blind. However, in some cases people with this kind of lesion are still able to perform simple visual discrimination tasks such as localisation of an object or colour judgements, but only when pressed to do so (Weiskrantz, 1997). That is, they claim to see nothing (i.e. they have no conscious experience of seeing2), but when asked to “do it anyway” they can perform at a level better than chance.

Blindsight illustrates two points: first, our capacity to acquire and process information through our senses is not limited to the conscious experience of doing so. Secondly, it demonstrates a dissociation between observable behaviour and consciousness. As stated in paragraph II, we need to be cautious when interpreting behaviour as reflecting the conscious experience of the subject.

If blindsight patients has no visual experiences as a result of a damaged V1, does this mean that primary visual cortex is a neural correlate of consciousness? It has been argued that V1 is not an NCC because it doesn’t have direct connections with the frontal parts of the brain (Crick &

Koch, 1995). Connections to the frontal lobes are essential according to Crick and Koch, because the function of consciousness, they hypothesise, is to provide the best possible interpretation of a stimulus to the parts of the brain that plan and execute voluntary motor outputs. This is a somewhat speculative answer that builds on an assumed function of consciousness. A perhaps more compelling argument can be built from the fact that localized damage to specific regions higher up the visual hierarchy exterminates certain aspects of visual awareness. For example, a selective damage to area V4 leads to achromatopsia, a condition where the visual world completely loses colour and is only perceived in shades of grey (Zeki, 2001). The visual experience of colour is hence obliterated even though V1 with all its colour responsive cells are intact. However, later neuroimaging studies have found a significant correlation between V1 activity and conscious percept (Polonsky, Blake, Braun, & Heeger, 2000). Whether or not V1 is part of a neural correlate of consciousness is therefore not yet completely clarified (Tong, 2003).

As the example with blindsight shows, the brain can process information unconsciously. This is probably done all the time, even when we are asleep. It is also a plausible assumption that unconscious processes precede conscious ones. For example, it seems likely that some unconscious stimulus processing takes place before a conscious percept of the stimulus can occur. To find out what processes are specifically correlated with the awareness of a percept, one would like to be able to control for brain activity related to the lower-level, stimulus driven processes. One way of doing this is to use some kind of stimulus that can remain constant and unchanged, while at the same time generate more than one possible percept. A few examples of this approach exists, the most common being a phenomenon called binocular rivalry. If two incongruent pictures are shown to each eye separately, the percept will not fuse into a mixture of the two but rather create a rivalrous condition where only one picture is perceived at a given time. The picture that becomes perceptually dominant shifts back and forth with a few seconds’ interval. If a subject is presented with this kind of stimulus while a suitable measurement is made of the subjects brain activity, one has the opportunity to see what activity correlates with the perceptual shifts (perceptual awareness) and what activity remains constant (stimulus driven). Binocular rivalry has been used with monkeys, where brain activity was measured with single-cell recordings (Leopold

& Logothetis, 1996). The results showed that activity in early visual areas did not correlate well

2 The damage does not need to encompass the whole V1 and is often limited to one hemisphere. Consequently, they may have visual experiences as such, but not in their blind field.

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with the percept. Instead, the more anterior, or further up the visual stream the measure was made, the better the correlation between neuronal activity and percept became. Similar results have been presented with human subjects and fMRI (Tong, Nakayama, Vaughan, & Kanwisher, 1998). Here the stimulus was a picture of a face presented to one eye and a picture of a house presented to the other. Faces and houses have been shown to activate specific regions in the occipito-temporal cortex (Kanwisher et al., 1997; Epstein & Kanwisher, 1998) and in line with this, activity in the FFA (fusiform face area) and PPA (parahippocampal place area) increased when subjects perceived faces and houses respectively, all while the stimuli remained constant.

Other paradigms that have used unchanging stimuli with changing percepts are ambiguous figures (Kleinschmidt et al., 1998), the motion after-effect (Taylor et al, 2000), and perceptual hysteresis (Kleinschmidt et al., 2002). The most consistent neural correlate found in these studies is activity in ventral visual cortex3. However, activity in this region does not seem to be sufficient by itself to produce conscious visual experiences. If two images are presented to each eye separately, but unlike for binocular rivalry the images are congruent, the images will fuse into one percept. For example, if you are presented with a green field to your left eye and a red field to your right eye, you will see a single homogenous yellow field. By presenting a green face on a red background and a red face on a green background to each eye respectively, Moutoussis and Zeki (2002) showed that neural activity increased in FFA even though subjects only perceived a homogenous yellow field. Similar results were achieved with a red versus green house and activity in PPA. The authors suggest that the pivotal difference between perceived and unperceived faces/houses was level of activity. That is, for consciousness to occur there needs to be a certain level of activity in the relevant brain regions. Others have suggested that a critical requirement is interaction with other brain regions, e.g. prefrontal cortex (Crick & Koch, 1995; Frith & Dolan, 1996). This is supported by results from many of the studies related to visual awareness where ventral visual, but also fronto-parietal activity is reported to correlate with conscious perception (Lumer et al., 1998; Kleinschmidt et al., 1998, Lumer & Rees, 1999, Taylor et al, 2000).

However, no consensus has emerged on how to interpret this activation pattern, although similarities between awareness and attention have been noted (Rees, Kreiman, & Koch, 2002).

Several behavioural studies indicate that attention is important for awareness. For example, patients with a unilateral right-sided lesion on parietal cortex have trouble using information on their left side of the world, a condition called unilateral neglect (see Driver & Mattingley, 1998, for review). Illustratively, when asked to copy a drawing they tend to ignore the left part. The affliction is not sensory related: the patient can sometimes “discover” the left side world by turning around (i.e. making what was their left side their right; Sacks, 1992) or by having someone explicitly pointing at the left side of a drawing. Usually the affliction is explained as a deficit in spatial attention, meaning that the patient cannot aim the “attentional spotlight” to the left and therefore cannot become aware of that side of the world. Other examples of the importance of attention for awareness are attentional blindness (Mack & Rock, 1998), where a stimulus that is not attended seems to be unable to reach awareness, and the attentional blink (e.g. Luck, Vogel, & Shapiro, 1996). In the attentional blink paradigm a fast series of items are presented to a subject. The task is to detect a first target item and then, within different time periods, detect a second target. If the second target is presented within a window of 100 - 500 ms after target 1 its detection will be severely reduced, presumably because attention is serial and has limited capacity. That is, if attentional recourses are temporarily busy, awareness is reduced.

Fronto-parietal activity is a consistent finding from neuroimaging studies of various forms of attention (Kanwisher & Wojciulik, 2000). These regions are also activated for visual awareness, and since attention has been shown to be important for awareness it seems reasonable to explain the fronto-parietal awareness-related activity in terms of attentional mechanisms. However, other cognitive mechanisms related to fronto-parietal activity may also be relevant. Working memory is

3 This region starts at V1 at the tip of the neck and extends along the ”bottom” of the brain towards the front. This is also where PPA and FFA is located.

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usually described as the function of holding and/or manipulating an internal representation in the purpose of interfacing perception and behaviour. The system is thought to be modular, with a central executive and a set of slave modules. Recent updates of the model also include an episodic buffer, thought to integrate long term memory components into the system (see Baddeley, 2003, for review). Conscious awareness has been assumed to depend on working memory functions (Baddeley & Andrade, 2000), and the episodic buffer is also meant to act as a “global workspace”

(GW). GW is a theoretical model that is intended to embody the supposed function of consciousness, which is to distribute information from specific brain modules in a format available to the rest of the brain (Baars & Franklin, 2003). The neural correlates of working memory are distributed, including frontal and parietal regions (Baddeley, 2003). It is noteworthy that the central executive is supposedly an attentional mechanism, thereby linking attention and working memory and their potential neural implementation. How attention, working memory, and conscious awareness are related is not yet well understood, but their neuroanatomical overlap hints at functional commonalities (Naghavi & Nyberg, in press).

OBJECTIVE

A general aim of both empirical studies was to further elucidate the relation between consciousness and the neurophysiology of the brain. The specific objective of Study 1 was to investigate the possible distinction in how the brain implements different temporal aspects of consciousness. The objective of Study 2 was to see how generic previously described activation patterns are in relation to consciousness in different sensory modalities.

EMPIRICAL STUDIES Study 1

Whereas the majority of studies of NCC has focused on the generation of perceptual awareness (i.e., activity correlated with perceptual shifts), others have investigated whether different brain activity is required to sustain a particular percept in mind. To explore this, Portas, Strange, Friston, Dolan, and Frith (2000) used random dot stereograms (RDS) as stimuli in an object identification task. Unlike most other perceptually unstable stimuli, the RDS percept can be sustained for a relatively long period of time. Therefore, identification and sustained perception could be separated analytically within trials. The results associated perceptual identification with frontal, parietal, and occipito-temporal (ventral visual) regions, whereas sustained perception engaged a distinct dorsolateral prefrontal region as well as the hippocampus. Kleinschmidt, Buchel, Hutton, Friston, and Franckowiak (2002) used a phenomenon called perceptual hysteresis, where identification of an object in a low-contrast stimulus allows the participant to sustain perception below the initial identification contrast level (i.e., once you see it you can tolerate a more degraded stimulus). By comparing the condition before and after identification, Kleinschmidt and colleagues could control for stimulus parameters and characterize brain activity specifically related to perceptual awareness and sustained perception. In line with Portas et al., medial temporal lobe (MTL) activity was found to correlate with sustained perception rather than identification. However, unlike Portas et al. there was also pronounced similarities in activity between identification and sustained perception in fronto-parietal and ventral visual regions.

Moreover, MTL activity has also been implicated in relation to perceptual identification (Kreiman, Fried, & Koch, 2002). Earlier research is consequently inconclusive of which regions should be attributed to what temporal aspect of perception.

To further investigate this issue we used fragmented pictures in an object identification task.

By patterning the paradigm after Portas et al. and thereby making the studies comparable, it was

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possible to see how their results would generalize to other stimuli than RDS’s. Separation of brain activity related to identification, sustained perception, and also the motor behaviour of reporting identification, was separated within trials (Figure 1a). The participants were asked to view the fragmented pictures and press a button upon identification. A brief tone appeared when the button was pressed, and reappeared 10 s later. Participants were instructed to make a second button press when the tone reappeared, thereby creating a unique activation profile for the motor response, identification, and also sustained perception following identification. With this paradigm one can then correlate brain activity with each activation profile and find regions specifically activated for each effect.

Figure 1. a) Stimulus onset and identification is separated by a delay created by the difficulty in identifying a fragmented object. Each effect can be dissociated by creating unique activation profiles and then correlating brain activity with each profile: M = motor response, I = identification, SP = sustained perception. b) An example fragmented picture, where a bird is made out of a subset of green lines.

Identification was related to increased activity in ventral visual, frontal, and parietal regions (Figure 2), and also MTL. Although the specific loci were separate, sustained perception also activated ventral visual and fronto-parietal regions. There was also significant activity increase in cingulate cortex and posterior temporal cortex. Results from previous research (Portas et al., 2000; Kleinschmidt et al., 2002) motivated a closer look at MTL, and a more liberal statistical criterion revealed additional activity in a MTL region, slightly posterior to the one seen during identification.

Figure 2. Lateral view of the brain showing activity for the three effects of interest in Study 1.

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The results provide further evidence for a difference in how the brain implements perceptual identification compared to how it sustained a particular percept over time. However, there was also considerable overlap between conditions in ventral visual and fronto-parietal regions.

Possibly, activity in some of the regions engaged during identification must be maintained to enable sustained perception. Study 1 thus provides additional evidence for fronto-parietal involvement in visual awareness, by showing that it is also associated with sustained perception.

The generality of this activation pattern was further investigated in Study 2.

Study 2

Fronto-parietal activity is related to awareness of a number of different visual stimuli (objects:

Portas et al., 2000; words: Kjaer et al., 2001; motion: Williams et al., 2003). It is therefore reasonable to think that the fronto-parietal regions are related to cognitive processes that are more general than the stimulus specific (e.g., FFA for faces). To see if this supposed generality would hold for other sensory modalities, we used auditory stimuli in a paradigm that is otherwise very similar to the one used in Study 1. Neural correlates of auditory awareness is a new area of investigation where no systematic studies have been done previously. The stimuli consisted of animal sounds that were initially drowned in noise. The noise level was then successively lowered until identification occurred, i.e. until the participant came to insight of what he/she was listening to. The noise level was then held constant during sustained perception. As in Study 1, two button presses were also executed, one signifying identification and the other working as a motor control.

This again created unique activation profiles that could be separated analytically. A switch in background screen colour was used to indicate when the second button press should occur, analogous to the tone in Study 1. A colour switch also occurred at the first button press.

The results showed that auditory cortex and frontal regions were activated for auditory identification. However, no parietal activity was found. To further investigate the difference between visual and auditory awareness, a second experiment was conducted with both auditory and visual trials, thereby replicating both Study 1 and experiment 1 of Study 2. Results from experiment 2 showed that whereas fronto-parietal and ventral visual regions were again activated for visual awareness, only superior temporal (auditory) cortex and frontal regions were activated for auditory awareness (Figure 3). A conjunction analysis that formally characterized similarities between modalities, showed exclusively frontal regions jointly activated for perceptual identification. A similar analysis for sustained perception revealed a more distributed network of brain regions, including parietal cortex. It seems then, that perceptual identification engages common frontal regions that interact with modality specific posterior regions to produce awareness. An amodal network of fronto-parietal regions is then activated to maintain the specific percept over time.

CONCLUSIONS

Although the relation between consciousness and the brain is a hard nut to crack, in fact impossible according to some, an empirically based approach may be a possible way through the mist of confusions. Gathering information on what brain activity correlates with consciousness is a first step, and will help to develop more precise predictions and hypothesis that may eventually lead to a causal description of consciousness. Once this is established it remains to be seen if we still don’t know why things feel a certain way.

A conscious state is characterized by its content, of what we are aware of. The strategy for studying neural correlates of consciousness in this thesis has been to follow the activation profile

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Figure 3. Top: Lateral view of brain activity related to visual (red) and auditory (green) awareness in Study 2. Middle: Whereas frontal regions (A and B) were activated for both auditory and visual awareness, activity in posterior regions (C and D) was modality specific. Bottom:

Activation maps overlaid on anatomical flat-maps of left and right hemisphere.

of perceptual awareness that is not explained by stimulus properties. Results from both studies corroborate results from previous research in that activity in non-primary sensory regions correlates with perceptual awareness. These regions were also activated during sustained perception, indicating that they are continuously needed for awareness. In Study 1 activity in MTL was more strongly associated with identification, though MTL activity was also found at a more liberal statistical criterion for sustained perception. In study 2 MTL activity was only seen during sustained perception, in line with several other studies (Kleinschmidt et al., 2002; Portas

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et al., 2000). MTL has been hypothesized to serve as a source of top-down information in situations where the stimulus is degraded but knowledge about identity has already been gained (Kleinschmidt et al., 2002). This condition is prevalent in both studies during sustained perception. The discrepancy between Study 1 and 2 may be due to the fact that Study 1 did not account for inter-individual variability, whereas both experiments in Study 2 did. That is, the results from Study 1 only show brain activity significant for the group and cannot be generalized to the population.

In addition to sensory related activity, both studies showed fronto-parietal activity during visual awareness. However, by using auditory stimuli Study 2 showed that parietal activity depends on stimulus modality, and demonstrated exclusively superior temporal and frontal activation during auditory awareness. Nevertheless, frontal and parietal cortex activity was related to sustained perception in both modalities. It seems, then, that frontal regions interact with posterior, stimulus-specific regions to produce awareness. Awareness is then sustained by a more generic network of regions including both frontal and parietal regions. Fronto-parietal activity is a consistent finding for sustained attention (Cabeza & Nyberg, 2000) and may therefore serve as neural substrates of the conscious effort of holding the percept in mind during prevalently poor stimulus conditions.

Increased activity in the frontal lobe during conscious awareness is the most consistent finding in the two studies, and also a consistent finding in previous research (Rees, Kreiman, & Koch, 2002). Frith and Dolan (1996) describe a model where posterior regions determine the specific content of consciousness, and interaction between posterior and prefrontal cortex are a defining characteristic for consciousness. This is also in line with the hypothesis by Crick and Koch (1995) that the function of consciousness is to provide information to the parts of the brain that contemplate, plan and execute behaviour; the frontal lobes. Although many consider consciousness to be intimately connected to higher cognitive functions, this should perhaps not be taken for granted. For example, Block (1995) thinks that when we consider the function of consciousness to be “higher”, we conflate two distinct types of consciousness: phenomenal and access-consciousness. The function of “reasoning and rationally guiding speech and action”

(Block, 1995, p. 227) are only related to access-consciousness according to him. Personally, I am sceptical to this division. It seems to me that what Block refers to as phenomenal consciousness is analogous to what I called sensory awareness in paragraph I, and that the difference between the two types may be more of a graded scale of complexity rather than discrete phenomena. However, I do feel that the function of consciousness is still rather speculative. This does not mean that I negate the importance of frontal lobe involvement in consciousness, only that I think that the parallel between frontal activity and higher reasoning should be made with caution. Determining the function of consciousness is an important step in a science of consciousness, and what one thinks is the function of consciousness will likely be important for how one chooses to approach its neural implementation.

Results from Study 1 and 2 show that the method of separating effects of interest within individual trials is successful. A further indication of this success is that motor and sensory regions are shown to be significantly activated in relation to the motor-task (see separate manuscripts).

During visual awareness trials the motor responses are accompanied by auditory events. Similarly, during auditory awareness trials motor responses are accompanied by visual events (change in background screen colour). Consequently, one can expect primary motor cortex activity for all motor responses, and auditory and visual cortex activity for visual and auditory trials respectively.

Both studies provide further evidence concerning localization of relevant brain regions related to consciousness. A number of studies have begun to further characterize NCC in terms of how these brain regions interact with each other (McIntosh et al., 1999; Lumer & Rees, 1999;

Vuilleumier et al., 2004). Possible future directions may be to investigate the functional and/or effective connectivity between various components of the networks implicated for consciousness, and try to describe the different sub-functions implemented by these network components.

Specifically, it may be possible to parameterize working-memory or attentional load in relation to

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perceptual awareness, and follow possible shifts in connection strengths between frontal and posterior regions. Also, no network analysis has yet been done of brain activity during binocular rivalry. This would provide further information on the cognitive aspects of frontal involvement during perceptual awareness.

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