<?xml version="1.0" encoding="UTF-8"?>
<TEI xmlns="http://www.tei-c.org/ns/1.0" xml:lang="en">
  <teiHeader>
    <fileDesc>
      <titleStmt>
        <title>Neural correlates of consciousness: progress and problems</title>
        <author>Koch</author>
        <author>Massimini</author>
        <author>Boly</author>
        <author>Tononi</author>
      </titleStmt>
      <publicationStmt>
        <p>Tag layer of the DHSS Meta-Tagging Project. The article text is reproduced from the
           staged copy named in sourceDesc and is not altered; the tags are held separately in
           standOff so that overlapping and nested spans are preserved.</p>
      </publicationStmt>
      <sourceDesc>
        <bibl>
          <title>Neural correlates of consciousness: progress and problems</title>
          <date>2016</date>
          <publisher>Nature Reviews Neuroscience</publisher>
          <idno type="DOI">10.1038/nrn.2016.22</idno>
          
          <idno type="record">koch2016-neural-correlates-of-consciousness</idno>
          <note type="staged-file">koch2016-neural-correlates-of-consciousness.txt, the project's staged copy</note>
          <note type="text-sha1">8ef45c3ca22c3aa3c29a337504789e69a4ffa809</note>
          <note type="rights">open-access</note>
        </bibl>
      </sourceDesc>
    </fileDesc>
    <profileDesc>
      <textClass><keywords><term>neuroscience</term></keywords></textClass>
      <particDesc>
        <person xml:id="paper"><p>the paper's own words</p></person>
        <person xml:id="tagger"><p>the tag layer; a sentence written by the tagger about the
          paper, always anchored to a quotation but not itself a quotation</p></person>
      </particDesc>
    </profileDesc>
    <revisionDesc>
      <change when="2026-10-06"
              who="build_paper_edition.py">0 spans located by searching the stored text for the quote's exact words, allowing any whitespace between them</change>
    </revisionDesc>
  </teiHeader>
  <standOff>
    <spanGrp type="tags">
      <span xml:id="t0" type="claim_type" ana="#claim_type" resp="#paper">
        <label>existence</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t1" type="phenomenon" ana="#phenomenon" resp="#paper">
        <label>neural correlates of consciousness</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t2" type="method" ana="#method" resp="#paper">
        <label>review</label>
        <term>review</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t3" type="mechanisms" ana="#mechanisms[0]" resp="#tagger">
        <label>mechanisms</label>
        <term>Diffusely projecting brainstem, hypothalamic and basal forebrain populations depolarize thalamic and cortical neurons, and this depolarization enables consciousness indirectly by making effective interactions between cortical areas possible.</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t4" type="mechanisms" ana="#mechanisms[1]" resp="#tagger">
        <label>mechanisms</label>
        <term>Fronto-parietal activity co-varies with reported perception because report-based tasks recruit attention, expectation, self-monitoring, planning and reporting, which precede or follow the experience rather than constituting it.</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t5" type="mechanisms" ana="#mechanisms[2]" resp="#tagger">
        <label>mechanisms</label>
        <term>Brainstem reticular formation, paramedian thalamus and postero-medial cortex act as activating influences and cortical hubs, thereby enabling the interactions among the cortical areas that supply conscious content.</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t6" type="limitations" ana="#limitations[0]" resp="#tagger">
        <label>The review restricts itself to visual and auditory studies and does not cover other modalities or metacognition.</label>
        <note>what this limits: the modality coverage of the review: THIS REVIEW FOCUSES ON VISUAL AND AUDITORY STUDIES; FOR ACCOUNTS OF THE NCC FOR METACOGNITION, BODY, TACTILE AND OLFACTORY EXPERIENCES, SEE REFS</note>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t7" type="limitations" ana="#limitations[1]" resp="#tagger">
        <label>The authors state that the empirical NCC research programme has inherent limits.</label>
        <note>what this limits: the empirical programme as a route to the question: WE OUTLINE THE INHERENT LIMITS OF SUCH AN EMPIRICAL RESEARCH PROGRAMME</note>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t8" type="limitations" ana="#limitations[2]" resp="#tagger">
        <label>NCC evidence cannot settle whether consciousness is present in brain-damaged patients, infants, animals or machines.</label>
        <note>what this limits: every clinical, developmental, comparative and machine application: THE NCC BY THEMSELVES CAN PROVIDE LITTLE INFORMATION ABOUT CONSCIOUSNESS IN PATIENTS WITH SEVERE BRAIN DAMAGE, INFANTS, FETUSES, NON-HUMAN SPECIES OR INTELLIGENT MACHINES</note>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t9" type="limitations" ana="#limitations[3]" resp="#tagger">
        <label>The conclusion that V1 is not part of the content-specific NCC may not generalise to untested visual attributes.</label>
        <note>what this limits: the conclusion that V1 is outside the content-specific NCC: IT IS NOT KNOWN WHETHER THIS CONCLUSION APPLIES TO OTHER VISUAL ATTRIBUTES, SUCH AS PRECISE SPATIAL TOPOGRAPHY, LUMINOSITY AND DETAILED CONTOURS</note>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t10" type="limitations" ana="#limitations[4]" resp="#tagger" cert="1.0">
        <label>The field&#x27;s central definition is stated by its own authors to admit two interpretations.</label>
        <note>what this limits: any use of the NCC as a single construct: the authors define it as the minimum neuronal mechanisms jointly sufficient for any one specific conscious percept, and state that there are two possible interpretations of that definition</note>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t11" type="limitations" ana="#limitations[5]" resp="#tagger" cert="1.0">
        <label>Two popular candidate markers are reported to have no predictive power.</label>
        <note>what this limits: any use of gamma activity or the P3b wave as a marker of consciousness: the authors state these two popular candidates have not shown any predictive power</note>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t12" type="limitations" ana="#limitations[6]" resp="#tagger" cert="1.0">
        <label>Consciousness is stated to be possible without reliable behavioural responses, with the misclassification named.</label>
        <note>what this limits: any inference from absent behaviour to absent consciousness: the authors state consciousness can be present even without reliable behavioural responses, and that minimally conscious patients can be misclassified as vegetative</note>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t13" type="concepts" ana="#concepts[0]" resp="#paper">
        <label>full NCC</label>
        <term>full NCC</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t14" type="concepts" ana="#concepts[1]" resp="#paper">
        <label>contentspecific NCC</label>
        <term>contentspecific NCC</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t15" type="concepts" ana="#concepts[2]" resp="#paper">
        <label>gamma activity</label>
        <term>gamma activity</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t16" type="concepts" ana="#concepts[3]" resp="#paper">
        <label>P3b wave</label>
        <term>P3b wave</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t17" type="concepts" ana="#concepts[4]" resp="#paper">
        <label>behavioural responses</label>
        <term>behavioural responses</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t18" type="concepts" ana="#concepts[5]" resp="#paper">
        <label>consciousness</label>
        <term>consciousness</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t19" type="senses" ana="#senses[0]" resp="#tagger" cert="1.0">
        <label>the NCC - ONE DEFINITION, TWO READINGS, FLAGGED BY ITS AUTHORS: the minimum neuronal mechanisms jointly sufficient for any one specific conscious percept, with the review stating there are two possible interpretations depending on whether the specific content or the state is meant; the definition does not determine its own referent</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t20" type="senses" ana="#senses[1]" resp="#tagger" cert="1.0">
        <label>the full NCC - A UNION OVER A SET STILL BEING ENUMERATED: it is constituted by the union of all content-specific NCC, so the whole is complete exactly when the enumeration is, and the enumeration is the research programme itself</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t21" type="senses" ana="#senses[2]" resp="#tagger" cert="1.0">
        <label>gamma activity and the P3b wave - CANDIDATE MARKERS WITHDRAWN: both were popular and neither has shown predictive power, so two named quantities that circulated as indices of consciousness are reported as failing the role</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t22" type="claim_relations" ana="#claim_relations[0]" resp="#tagger">
        <label>contradicts → the proposal that the P3b/global ignition of fronto-parietal cortex is a signature of consciousness (REF. 142)</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t23" type="claim_relations" ana="#claim_relations[1]" resp="#tagger">
        <label>contradicts → earlier proposals that gamma activity or synchrony, and the P3b event-related potential, are signatures of consciousness</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t24" type="concept_edges" ana="#concept_edges[0]" resp="#tagger">
        <label>contentspecific NCC —part-of→ full NCC</label>
        <term>contentspecific NCC</term>
        <term>full NCC</term>
        <note>strength of the relation: 1</note>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t25" type="concept_edges" ana="#concept_edges[1]" resp="#tagger">
        <label>gamma activity —causes→ consciousness</label>
        <term>gamma activity</term>
        <term>consciousness</term>
        <note>direction on the measure: no-change · strength of the relation: 1</note>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t26" type="concept_edges" ana="#concept_edges[2]" resp="#tagger">
        <label>P3b wave —causes→ consciousness</label>
        <term>P3b wave</term>
        <term>consciousness</term>
        <note>direction on the measure: no-change · strength of the relation: 1</note>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t27" type="content_tags" ana="#content_tags.findings[0]" resp="#tagger">
        <label>Both the full and the content-specific NCC sit in a restricted temporo-parieto-occipital posterior hot zone rather than in the wide fronto-parietal network that earlier work emphasised.</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t28" type="content_tags" ana="#content_tags.findings[1]" resp="#tagger">
        <label>Paradigms in which participants make no overt report yield a narrower content-specific NCC that contains posterior cortical areas but excludes prefrontal cortex.</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t29" type="content_tags" ana="#content_tags.findings[2]" resp="#tagger">
        <label>Gamma synchrony survives or grows during early NREM sleep, anaesthesia and seizures and accompanies unconscious emotional stimuli, so it occurs without consciousness.</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t30" type="content_tags" ana="#content_tags.findings[3]" resp="#tagger">
        <label>The P3b is missing in most clearly conscious brain-damaged patients and detects minimally conscious patients very poorly, so it fails as a signature of consciousness.</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t31" type="content_tags" ana="#content_tags.findings[4]" resp="#tagger">
        <label>Primary visual cortex V1 is not part of the content-specific NCC for any visual attribute tested so far.</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t32" type="content_tags" ana="#content_tags.findings[5]" resp="#tagger">
        <label>Consciousness survives removal of prefrontal cortex: complete bilateral frontal lobectomy and large bilateral prefrontal resections leave it intact.</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t33" type="content_tags" ana="#content_tags.findings[6]" resp="#tagger">
        <label>Cerebellar lesions have little effect on consciousness and its contents.</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t34" type="content_tags" ana="#content_tags.findings[7]" resp="#tagger">
        <label>Local rather than global EEG activation, especially over the posterior hot zone, may be what matters for consciousness.</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t35" type="content_tags" ana="#content_tags.findings[8]" resp="#tagger">
        <label>The perturbational complexity index is the first measure that tracks the level of consciousness across sleep stages, anaesthetics and disorders of consciousness and does so for individual participants.</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t36" type="content_tags" ana="#content_tags.findings[9]" resp="#tagger">
        <label>No single brain area turns out to be necessary for being conscious, though areas of the posterior cortical hot zone are the best candidates for both full and content-specific NCC.</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t37" type="content_tags" ana="#content_tags.definitions[0]" resp="#tagger">
        <label>neural correlates of consciousness (NCC)</label>
        <term>neural correlates of consciousness (NCC)</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t38" type="content_tags" ana="#content_tags.definitions[1]" resp="#tagger">
        <label>content-specific NCC</label>
        <term>content-specific NCC</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t39" type="content_tags" ana="#content_tags.definitions[2]" resp="#tagger">
        <label>full NCC</label>
        <term>full NCC</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t40" type="content_tags" ana="#content_tags.definitions[3]" resp="#tagger">
        <label>background conditions for consciousness</label>
        <term>background conditions for consciousness</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t41" type="content_tags" ana="#content_tags.definitions[4]" resp="#tagger">
        <label>posterior cortical hot zone</label>
        <term>posterior cortical hot zone</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t42" type="content_tags" ana="#content_tags.definitions[5]" resp="#tagger">
        <label>no-report paradigm</label>
        <term>no-report paradigm</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t43" type="content_tags" ana="#content_tags.definitions[6]" resp="#tagger">
        <label>perturbational complexity index (PCI)</label>
        <term>perturbational complexity index (PCI)</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t44" type="content_tags" ana="#content_tags.definitions[7]" resp="#tagger">
        <label>neuronal avalanches</label>
        <term>neuronal avalanches</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t45" type="content_tags" ana="#content_tags.definitions[8]" resp="#tagger">
        <label>P3b</label>
        <term>P3b</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t46" type="content_tags" ana="#content_tags.quantities[0]" resp="#tagger">
        <label>0.14 — sensitivity of the P3b for identifying minimally conscious patients</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t47" type="content_tags" ana="#content_tags.quantities[1]" resp="#tagger">
        <label>40% — proportion of unresponsive, sedated and hypothermic coma patients in whom multivariate decoding still finds a P3b-like component</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t48" type="content_tags" ana="#content_tags.quantities[2]" resp="#tagger">
        <label>143 — number of severely brain-injured patients with disorders of consciousness in the structural imaging study of thalamic atrophy</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t49" type="content_tags" ana="#content_tags.quantities[3]" resp="#tagger">
        <label>more than one-third — share of awakenings from NREM sleep after which participants report having been conscious, despite reduced neuromodulatory activity</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t50" type="content_tags" ana="#content_tags.quantities[4]" resp="#tagger">
        <label>&gt;75 μV — amplitude threshold for the repeated EEG slow waves used to assess loss of consciousness in humans</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t51" type="content_tags" ana="#content_tags.quantities[5]" resp="#tagger">
        <label>120– 140 ms — latency of cortical responses to visual stimuli attributed to a feedforward sweep from V1 to extrastriate and inferior temporal cortex</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t52" type="content_tags" ana="#content_tags.quantities[6]" resp="#tagger">
        <label>close to 1 million — number of nerve cells in a bee brain, cited when asking whether insects can be conscious</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
    </spanGrp>
  </standOff>
  <text>
    <body>
      <p><note type="rights">The full text of this article is not redistributable, so it is
      not included here. The evidence sentences are withheld with it; the tag layer and its
      grounding status remain. The article itself is at https://doi.org/10.1038/nrn.2016.22.</note></p>
    </body>
  </text>
</TEI>
