Mack and Rock show evidence that no consciousperception occurs without a prior attentiveact. Subjects already executing attention taskstend to neglect visible elements extraneous tothe attentional task, apparently lacking evenbetter-than-chance ``implicit perception,''except in certain cases where the unattendedstimulus is a meaningful word or has uniquepre-tuned salience similar to that ofmeaningful words. This is highly consistentwith ``enactive'' notions that consciousnessrequires selective attention via emotional subcortical and limbic motivationalactivation as it influences anterior attentionmechanisms. Occipital activation withoutconsciousness suggests that motivated search,enacted through the (...) organism's subcorticalmotivational functions, is needed beforevisual stimulation engenders consciousness.This enactive view – that searching for,rather than receiving or processing input isthe basis of consciousness – was slow ingaining acceptance lacking empirical evidenceof this kind, combined with thestimulus-response assumption that brain eventssubserving perceptual consciousness must resultfrom transformation of perceptual input ratherthan from the organism's self-regulatedactivity as manifested through subcorticalactivity. Implicit perception occurring withword priming is ``paradoxical'' according to Mackand Rock, suggesting late selection forattention after extensive unconsciousprocessing, while most trials involvingnonverbal rather than verbal images mightsuggest earlier selection, sinceunattended objects are unseen, apparently evenimplicitly. This paper argues that anteriorand subcortical motivational mechanisms play animportant role in early selection; posteriormechanisms then unconsciously enhance signals;if data survive early gating andcorticothalamic enhancement, then still further anterior-limbic loops motivatedlyactivate ``image schemas'' resonating withposterior nonconscious processing; at thatpoint, consciousness occurs. (shrink)

Auditory stimulation training (AST) has been proposed as a potential treatment for chil-dren with specific language impairments (SLI). The current study was designed to test this as-sumption by using an AST with technically modulated musical material (ASTM) in a random-ized control group design. A total of 101 preschool children (62 male, 39 females; mean age = 4.52 years, SD = 0.62) with deficits in speech comprehension and poor working memory ca-pacity were randomly allocated into one of two treatment groups (...) or a control group. Children in the ASTM group (n = 40) received three 30-minute sessions per week over 12 weeks, whereas children in the comparison group received pedagogical activities during these intervals (n = 24). Children in the control group (n = 37) received no treatment. Working memory, phoneme dis-crimination and speech perception skills were tested prior to (baseline) and after treatment. Chil-dren in the ASTM group showed significantly greater working memory capacity, speech per-ception, and phoneme discrimination skills after treatment, whereas children in the other groups did not show such improvement. Taken together, these results suggest that ASTM can enhance auditory cognitive performance in children with SLI. (shrink)

Ethical evaluation of deep brain stimulation as a treatment for Parkinson’s disease is complicated by results that can be described as involving changes in the patient’s identity. The risk of becoming another person following surgery is alarming for patients, caregivers and clinicians alike. It is one of the most urgent conceptual and ethical problems facing deep brain stimulation in Parkinson’s disease at this time. In our paper we take issue with this problem on two accounts. First, we elucidate (...) what is meant by “becoming another person” from a conceptual point of view. After critically discussing two broad approaches we concentrate on the notion of “individual identity” which centers on the idea of “core attitudes”. Subsequently we discuss several approaches to determine what distinguishes core attitudes from those that are more peripheral. We argue for a “foundational-function model” highlighting the importance of specific dependency relations between these attitudes. Our second aim is to comment on the possibility to empirically measure changes in individual identity and argue that many of the instruments now commonly used in selecting and monitoring DBS-patients are inappropriate for this purpose. Future research in this area is advised combining a conceptual and an empirical approach as a basis of sound ethical appraisal. (shrink)