Recovering Consciousness After Coma - A Cognitive, Metabolic, and Belonging-Based Process - Brain Bee Ideas - SBNeC - FALAN
Recovering Consciousness After Coma - A Cognitive, Metabolic, and Belonging-Based Process - Brain Bee Ideas - SBNeC - FALAN
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What is consciousness in the Damasian Mind framework?
It is the emergence of a Tensional Self — a temporary functional anchoring point — within the Damasian Mind, built upon interoceptive and proprioceptive signals.
Why is coma not like sleep?
Because during sleep, the brain expects to return (due to light, routine, memory), and consciousness reemerges within an existential framework.
In coma, the brain might be active, yet unaware if or why it should wake. Even when it does, it may reconnect only through automatic or addictive circuits, not through full existential presence.
True consciousness demands not just activation, but agency, meaning, and belonging.
What is Zone 2?
It is the oxygen saturation range (SpO₂ between 94–96%) where brain metabolism can sustain conscious processing without triggering fight, flight, or sedation modes.
Why does the brain need belonging?
Without social signals (touch, voice, rhythm), the brain lacks reference networks — and without them, the Tensional Self cannot anchor. This is what we call Human Quorum Sensing (QSH), the foundation of lived belonging.
How can we help the brain “want to return”?
By creating an environment that simulates a familiar reality: familiar multisensory stimuli, controlled oxygen, absence of stress, and emotionally relevant cues to rekindle relational memory.
Article Introduction:
When consciousness wants to return, it seeks a body that feels familiar.
Unlike deep sleep, the recovery of consciousness after coma does not follow an automatic expectation from the body. Even with structurally normal brains and organs, many patients remain unconscious for extended periods. What’s missing?
According to the Damasian Mind framework, the mind is the weaving of interoception, proprioception, and perceptual activity. Consciousness, in turn, emerges as a Tensional Self — a functional anchoring point that perceives itself “being” in a specific space-time context.
In coma, this anchoring point may be absent — not due to structural deficits, but due to a lack of sensory and cognitive references that support the reassembly of the Self. The mental hyperspace may be active, but without an existential anchor — a space of belonging.
This article proposes that the delay in consciousness recovery after coma may be related to:
the absence of safe interoceptive-proprioceptive synchronies;
desynchronization from familiar rhythms and stimuli;
oxygenation outside Zone 2 (SpO₂ between 94–96%);
and loss of Human Quorum Sensing — the social-sensory signals of belonging.
More importantly, we emphasize a distinction between merely activated consciousness (e.g., reflexive or habit-driven) and existentially rooted consciousness.
Waking up does not always mean becoming present. A person can reconnect to the world via circuits of compulsion, addiction, or habitual stimuli — without true agency.
Real recovery of consciousness requires more: it demands a Self with agency, a sense of territory, and metabolically anchored belonging.
Expanded Definition of Consciousness
Consciousness is the temporary anchoring of a Tensional Self that, by metabolizing interoceptive and proprioceptive input in a perceived safe and familiar environment, references itself as 'present' within the Damasian Mind. This anchoring only updates when the mental hyperspace synchronizes internal and external stimuli to form a functional circuit of perception, belonging, and agency.
Here, agency is defined as the Tensional Self’s ability to act from within — to initiate movement recognized as one’s own. Agency is not merely performing an action, but owning the act, being the referential source of it within a body that is once again lived as a territory.
In coma, the absence of agency shows that, while the body may be metabolically active, no “Self” has yet anchored enough to initiate conscious action.
Key References (Post‑2020)
Candia-Rivera et al. (2021): Heartbeat Evoked Potentials (HEP) reveal residual self-awareness in post-coma states, emphasizing interoceptive processing as a key marker of consciousness.
Sources: MDPI – Brain Sciences, Journal of NeuroscienceParma et al. (2024): Review of the role of interoception in neurorehabilitation and its potential to support conscious awareness after severe brain injury.
Source: MDPI – Brain SciencesAbdulkarim et al. (2023): Mapped neural substrates of bodily ownership and agency, emphasizing their relevance for self-consciousness.
Source: Journal of NeuroscienceLiu (2024): The constitutive role of agency in phenomenal consciousness, exploring the relation between motor control and subjective awareness.
Source: Phenomenology and the Cognitive SciencesFermin et al. (2024): Proposed adaptive interoceptive control models involving the insula, highlighting its role in bodily self-consciousness.
Source: arXiv preprint
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