Jackson Cionek
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Brain Bee Ideas - Anesthesia and Tensional Selves – A Neuroaffective Harmony

Brain Bee Ideas - Anesthesia and Tensional Selves – A Neuroaffective Harmony


During surgery, the goal of anesthesia is not merely to turn off pain but to selectively deactivate the "tensional selves" that would otherwise sustain the perception of threat, suffering, or bodily reactions to pain.


In our model, each Tensional Self is an active bioaffective configuration, composed of interactions between:


* Short-lived bioelectrical emotions (cortical activities),

* Stabilized feelings (episodic memories),

* Embedded attention and consciousness (real-time interoception and proprioception).


Thus, to anesthetize means to interrupt the neural and affective supports that maintain these activated self-configurations.


Levels of Anesthesia in Harmony with the Tensional Selves Model**

Anesthesia LevelWhat is DeactivatedRelationship to Tensional Selves
Mild sedation (pre-anesthesia)Attention and rational criticismDissolves Self¹³ (the critical self) and reduces executive activity (DLPFC)
General anesthesia (altered perception)Thalamo-cortical connectivity and consciousnessBreaks the “consciousness loop,” preventing the formation of intentional selves
Deep anesthesiaPain and movementDeactivates the executive and survival selves. No response to pain
Induced coma / Curare + anesthesiaMovement + emotion + consciousnessAll Tensional Selves are suspended. Body present, consciousness absent


Scientific Foundations Supporting This Integration:**


* Mashour et al. (2021) – Conscious processing and the global neuronal workspace in general anesthesia (Nature Neuroscience): anesthesia shuts down the “global workspace,” the brain's integrative network for consciousness.

* Tononi et al. – Integrated Information Theory: consciousness is lost when integrated information (Φ) drops below a critical threshold.

* Alkire et al. (2008) – Consciousness and Anesthesia (Science): anesthesia disrupts thalamo-cortical connectivity.


Conceptual Integration with Tensional Selves


* Anesthesia is essentially an induced block of self-formation.

* Without interoception, attention, or affective networks, no Tensional Self can emerge.

* This demonstrates that selves are not fixed structures, but functional states that emerge and vanish as bioelectrical and affective networks activate or fall silent.


Conclusion


Anesthetic medicine, in clinical practice, confirms that we are not a single, fixed “self,” but multiple potential configurations.

Each level of anesthesia deactivates different blocks of tensional selves, aligning perfectly with the idea that the “self” is an existential metabolism activated in specific bioaffective and bioelectrical circuits.

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Jackson Cionek

New perspectives in translational control: from neurodegenerative diseases to glioblastoma | Brain States