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Timing and awareness of movement decisions: does consciousness really come too late?

ABSTRACT: Since Libet's seminal observation that a brain potential related to movement preparation occurs before participants report to be aware of their movement intention, it has been debated whether consciousness has causal influence on movement decisions. Here we review recent advances that provide new insights into the dynamics of human decision-making and question the validity of different markers used for determining the onset of neural and conscious events. Motor decisions involve multiple stages of goal evaluation, intention formation, and action execution. While the validity of the Bereitschaftspotential (BP) as index of neural movement preparation is controversial, improved neural markers are able to predict decision outcome even at early stages. Participants report being conscious of their decisions only at the time of final intention formation, just before the primary motor cortex starts executing the chosen action. However, accumulating evidence suggests that this is an artifact of Libet's clock method used for assessing consciousness. More refined methods suggest that intention consciousness does not appear instantaneously but builds up progressively. In this view, early neural markers of decision outcome are not unconscious but simply reflect conscious goal evaluation stages which are not final yet and therefore not reported with the clock method. Alternatives to the Libet clock are discussed that might allow for assessment of consciousness during decision making with improved sensitivity to early decision stages and with less influence from meta-conscious and perceptual inferences.

SUBMITTER: Guggisberg AG

PROVIDER: S-EPMC3746176 | biostudies-literature | 2013

REPOSITORIES: biostudies-literature

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Timing and awareness of movement decisions: does consciousness really come too late?

Guggisberg Adrian G AG Mottaz Anaïs A

Frontiers in human neuroscience 20130730

Since Libet's seminal observation that a brain potential related to movement preparation occurs before participants report to be aware of their movement intention, it has been debated whether consciousness has causal influence on movement decisions. Here we review recent advances that provide new insights into the dynamics of human decision-making and question the validity of different markers used for determining the onset of neural and conscious events. Motor decisions involve multiple stages ...[more]

PMID: 23966921

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Project description:BackgroundCholera, an ancient scourge, continues to inflict high rates of mortality today. The rising incidence of epidemics in areas of poor sanitation and crowding highlight the need for better epidemic prevention and early response. Such interventions require the availability of rapid and accurate diagnostic techniques to trigger timely response and mitigate the scale of the outbreak. The current gold standard of bacterial culture is inadequate for rapid diagnosis, highlighting the overarching neglect of field diagnostic needs. This paper was written to support the World Health Organisation's Global Task Force on Cholera Control mandated Cholera and diarrhoeal disease laboratory Network (CholdiNet) in devising a protocol for the validation of Rapid Diagnostic Tests (RDTs) for Vibrio cholerae. The status of diagnostic tools for Vibrio cholerae is assessed, describing products that have been commercialised over the last two decades and discussing their peer-reviewed evaluation.MethodReview of post-1990 peer-reviewed and grey literature on rapid diagnostic tests for Vibrio cholerae.ResultsSince 1990, twenty four diagnostic tests have been developed for the detection of Vibrio cholerae in human faecal samples. Fourteen of these have also been described in the literature, with rapid chromatographic-immuno assays (CIA) featuring strongly. Polymerase chain reaction (PCR) assays maintain the ability to detect the lowest amount of bacteria; however CIAs achieve both low detection thresholds and high sensitivity and specificity, making them possible candidates for use in field conditions. Field and laboratory studies were performed in a wide range of settings demonstrating variability in performance, however only a few of these studies were sufficiently stringent, highlighting five RDTs that showed promise in field conditions; COAT, IP cholera dipstick, SMART, IP dipstick and Medicos. In light of non-independent reporting, the authors would like to see these five products undergoing additional studies, with further technical improvements if needed and commercial production. The authors hope that public health use of such a RDT in limited-resource field conditions on stool samples may contribute to effective reduction in cholera epidemic spread.

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Timing and awareness of movement decisions: does consciousness really come too late?

Publications

Timing and awareness of movement decisions: does consciousness really come too late?

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