1 00:00:03,590 --> 00:00:01,829 seconds we just discussed that the 2 00:00:05,269 --> 00:00:03,600 sensory information arrives at the back 3 00:00:07,349 --> 00:00:05,279 of your head 4 00:00:09,669 --> 00:00:07,359 at about 200 milliseconds it arrives in 5 00:00:11,430 --> 00:00:09,679 the front of your head 6 00:00:13,749 --> 00:00:11,440 when you pers when it hit the back of 7 00:00:15,190 --> 00:00:13,759 your head you had a perceptual detection 8 00:00:16,950 --> 00:00:15,200 but you didn't know what it was you 9 00:00:18,710 --> 00:00:16,960 perceived 10 00:00:20,470 --> 00:00:18,720 at 200 milliseconds when it hits the 11 00:00:21,750 --> 00:00:20,480 frontal lobe this corresponds with 12 00:00:23,109 --> 00:00:21,760 awareness 13 00:00:25,349 --> 00:00:23,119 you're aware that you perceived 14 00:00:27,029 --> 00:00:25,359 something but you don't know what it was 15 00:00:29,990 --> 00:00:27,039 because you still can't differentiate 16 00:00:32,069 --> 00:00:30,000 that perception from another perception 17 00:00:34,389 --> 00:00:32,079 it takes 18 00:00:37,510 --> 00:00:34,399 another 100 milliseconds for that to 19 00:00:39,990 --> 00:00:37,520 occur and phase lock gamma activity 20 00:00:41,270 --> 00:00:40,000 actually bursts um 21 00:00:47,110 --> 00:00:41,280 in the 22 00:00:49,830 --> 00:00:47,120 180 and about 230 milliseconds 23 00:00:50,790 --> 00:00:49,840 but only in a cognitive task it doesn't 24 00:00:53,430 --> 00:00:50,800 just 25 00:00:55,510 --> 00:00:53,440 pop any old time it only happens when 26 00:00:56,869 --> 00:00:55,520 there's a relevant 27 00:00:59,189 --> 00:00:56,879 task 28 00:01:01,430 --> 00:00:59,199 and this phase lock gamma 29 00:01:03,510 --> 00:01:01,440 ends up being seen over the posterior 30 00:01:06,070 --> 00:01:03,520 temporal cortex with respect to the 31 00:01:07,830 --> 00:01:06,080 frontal areas as well again at about 200 32 00:01:10,310 --> 00:01:07,840 milliseconds and you'll see that all of 33 00:01:12,710 --> 00:01:10,320 these statements have references and if 34 00:01:14,789 --> 00:01:12,720 anyone wants the powerpoint presentation 35 00:01:16,390 --> 00:01:14,799 email me and i'll be more than happy to 36 00:01:18,469 --> 00:01:16,400 send it to you and it's got 37 00:01:20,230 --> 00:01:18,479 two pages of references and fairly small 38 00:01:21,670 --> 00:01:20,240 font at the end don't try and copy them 39 00:01:24,390 --> 00:01:21,680 down 40 00:01:25,910 --> 00:01:24,400 the p300 is the 300 millisecond 41 00:01:28,630 --> 00:01:25,920 occurrence back in the back of the head 42 00:01:31,109 --> 00:01:28,640 so 100 milliseconds is perception 43 00:01:32,710 --> 00:01:31,119 200 milliseconds is awareness 300 44 00:01:35,429 --> 00:01:32,720 milliseconds is now the ability to 45 00:01:36,390 --> 00:01:35,439 differentiate two stimuli one from the 46 00:01:38,630 --> 00:01:36,400 other 47 00:01:41,109 --> 00:01:38,640 but you're still not consciously aware 48 00:01:45,270 --> 00:01:41,119 of what it is you've now differentiated 49 00:01:47,429 --> 00:01:45,280 it we can get p300s out of coma patients 50 00:01:48,950 --> 00:01:47,439 i work with a very large group 51 00:01:50,069 --> 00:01:48,960 called the international brain research 52 00:01:53,109 --> 00:01:50,079 foundation 53 00:01:54,469 --> 00:01:53,119 we we do coma recovery work 54 00:01:57,910 --> 00:01:54,479 and 55 00:02:01,190 --> 00:01:57,920 just did a very nice study we woke up 56 00:02:02,950 --> 00:02:01,200 27 out of 33 people that were in coma 57 00:02:05,429 --> 00:02:02,960 but to get into the study they had to be 58 00:02:07,429 --> 00:02:05,439 in a coma for over a year with a glasgow 59 00:02:09,830 --> 00:02:07,439 coma scale of less than eight which 60 00:02:12,309 --> 00:02:09,840 basically means bye-bye 61 00:02:14,790 --> 00:02:12,319 it's a grave prognosis as they say in 62 00:02:16,869 --> 00:02:14,800 medicine the next stop is going to be in 63 00:02:20,229 --> 00:02:16,879 the grave 64 00:02:23,830 --> 00:02:20,239 but this uh this group basically woke up 65 00:02:25,750 --> 00:02:23,840 very effectively using our approach so 66 00:02:27,589 --> 00:02:25,760 we're well aware that you can get these 67 00:02:28,949 --> 00:02:27,599 wave shapes out of people that are in a 68 00:02:31,350 --> 00:02:28,959 coma 69 00:02:33,750 --> 00:02:31,360 it's a good prognosis if you see it 70 00:02:36,390 --> 00:02:33,760 if you don't see this this response in a 71 00:02:38,949 --> 00:02:36,400 coma it's not a bad prognosis but seeing 72 00:02:43,430 --> 00:02:38,959 it is is a very good sign 73 00:02:45,910 --> 00:02:43,440 so this this 100 200 300 millisecond 74 00:02:47,110 --> 00:02:45,920 cycle of perception 75 00:02:50,229 --> 00:02:47,120 is only 76 00:02:53,509 --> 00:02:50,239 really one frame in the construction of 77 00:02:55,270 --> 00:02:53,519 a conscious awareness perception 78 00:02:56,630 --> 00:02:55,280 again by 300 milliseconds you're 79 00:02:58,229 --> 00:02:56,640 differentiating but you're not 80 00:03:00,630 --> 00:02:58,239 consciously aware 81 00:03:03,270 --> 00:03:00,640 because you haven't got what it takes to 82 00:03:05,750 --> 00:03:03,280 have consciousness yet 83 00:03:08,470 --> 00:03:05,760 and 84 00:03:11,910 --> 00:03:08,480 basically we identified in in neurology 85 00:03:14,949 --> 00:03:11,920 that if you pair two stimuli 86 00:03:16,470 --> 00:03:14,959 that when the second pair of the stimuli 87 00:03:18,229 --> 00:03:16,480 ends up differing 88 00:03:21,030 --> 00:03:18,239 you can end up seeing an enhancement of 89 00:03:23,830 --> 00:03:21,040 the event-related potential and this is 90 00:03:24,949 --> 00:03:23,840 called a mismatch negativity for you 91 00:03:26,470 --> 00:03:24,959 any of you who are looking to the 92 00:03:28,630 --> 00:03:26,480 literature 93 00:03:31,350 --> 00:03:28,640 but it's a linearly 94 00:03:33,910 --> 00:03:31,360 related to attention 95 00:03:36,149 --> 00:03:33,920 let's take a quick look at some data 96 00:03:37,750 --> 00:03:36,159 what we have here is a normal person a 97 00:03:39,910 --> 00:03:37,760 high functioning middle functioning and 98 00:03:40,789 --> 00:03:39,920 low functioning add 99 00:03:43,270 --> 00:03:40,799 case 100 00:03:45,750 --> 00:03:43,280 and what we have here is a go no go test 101 00:03:49,350 --> 00:03:45,760 where they've they receive 102 00:03:52,229 --> 00:03:49,360 paired stimuli and with one stimulus 103 00:03:54,309 --> 00:03:52,239 priming and the second stimulus and 104 00:03:55,990 --> 00:03:54,319 during that paradigm 105 00:03:57,750 --> 00:03:56,000 when they receive a stimulus that tells 106 00:03:59,190 --> 00:03:57,760 them they shouldn't respond you get a 107 00:04:01,190 --> 00:03:59,200 different wave shape than when they 108 00:04:03,190 --> 00:04:01,200 receive a stimulus that indicates they 109 00:04:05,670 --> 00:04:03,200 should respond the difference between 110 00:04:07,270 --> 00:04:05,680 those two is linearly related to your 111 00:04:09,589 --> 00:04:07,280 attentional skills 112 00:04:11,990 --> 00:04:09,599 you can see that they use the same basic 113 00:04:13,509 --> 00:04:12,000 neural network it's not that add is 114 00:04:16,469 --> 00:04:13,519 using the temporal lobe instead of the 115 00:04:18,310 --> 00:04:16,479 frontal lobe to try and 116 00:04:19,909 --> 00:04:18,320 regulate attention 117 00:04:21,909 --> 00:04:19,919 but literally the difference between the 118 00:04:24,070 --> 00:04:21,919 green wave and the red wave here the 119 00:04:25,909 --> 00:04:24,080 green is go the red is stop 120 00:04:27,590 --> 00:04:25,919 you know standard color conventions and 121 00:04:30,150 --> 00:04:27,600 the little black line here ends up being 122 00:04:32,070 --> 00:04:30,160 the difference wave and 123 00:04:33,990 --> 00:04:32,080 the difference wave here ends up 124 00:04:36,550 --> 00:04:34,000 dropping and dropping and dropping so 125 00:04:39,110 --> 00:04:36,560 mismatch negativity is is a linearly 126 00:04:42,550 --> 00:04:39,120 related uh phenomenon to attention and 127 00:04:44,710 --> 00:04:42,560 here the the 80d people were classified 128 00:04:47,430 --> 00:04:44,720 as high middle and low 80d based on 129 00:04:50,230 --> 00:04:47,440 their continuous performance uh test 130 00:04:52,230 --> 00:04:50,240 results not not based on somebody's 131 00:04:53,270 --> 00:04:52,240 subjective assessment of their their 132 00:04:59,430 --> 00:04:53,280 work or 133 00:05:03,030 --> 00:05:01,030 essentially 134 00:05:04,790 --> 00:05:03,040 i mentioned this already you generate 135 00:05:08,150 --> 00:05:04,800 the erp 136 00:05:11,270 --> 00:05:08,160 morphology by phase locking uh theta and 137 00:05:12,950 --> 00:05:11,280 and alpha and this uh time series 138 00:05:14,150 --> 00:05:12,960 represents the interaction between 139 00:05:18,390 --> 00:05:14,160 episodic 140 00:05:22,870 --> 00:05:20,629 in a conscious person 141 00:05:25,270 --> 00:05:22,880 you compare your recent 142 00:05:26,870 --> 00:05:25,280 past experience 143 00:05:28,629 --> 00:05:26,880 continuously with your current 144 00:05:30,950 --> 00:05:28,639 perception 145 00:05:33,990 --> 00:05:30,960 and your first event related potential 146 00:05:36,070 --> 00:05:34,000 lays down a memory trace 147 00:05:38,950 --> 00:05:36,080 that your next perception then compares 148 00:05:41,430 --> 00:05:38,960 it against and unless you have this 149 00:05:43,749 --> 00:05:41,440 first memory trace to compare your 150 00:05:45,350 --> 00:05:43,759 ongoing perception with you don't have 151 00:05:47,350 --> 00:05:45,360 conscious awareness 152 00:05:50,469 --> 00:05:47,360 literally consciousness according to 153 00:05:51,670 --> 00:05:50,479 edelman in 2001 is the remembered 154 00:05:53,670 --> 00:05:51,680 present 155 00:05:55,990 --> 00:05:53,680 now if your semantic non-sequitur 156 00:05:59,270 --> 00:05:56,000 detector went off based on that tense 157 00:06:01,749 --> 00:05:59,280 shift uh perhaps uh it's an indication 158 00:06:04,870 --> 00:06:01,759 that consciousness exists at 159 00:06:06,390 --> 00:06:04,880 9 40 in the morning here so 160 00:06:09,350 --> 00:06:06,400 but the implication here is that 161 00:06:11,270 --> 00:06:09,360 consciousness literally takes two cycles 162 00:06:13,670 --> 00:06:11,280 one to lay down a memory trace and the 163 00:06:17,110 --> 00:06:13,680 other one to compare against it until 164 00:06:19,430 --> 00:06:17,120 you have that uh double cycle you don't 165 00:06:21,510 --> 00:06:19,440 have conscious awareness the second 166 00:06:23,430 --> 00:06:21,520 cycle 167 00:06:24,469 --> 00:06:23,440 these are essentially 300 millisecond 168 00:06:27,270 --> 00:06:24,479 cycles 169 00:06:31,189 --> 00:06:27,280 but conscious awareness in libid's work 170 00:06:33,189 --> 00:06:31,199 out of san francisco in 1979 indicated 171 00:06:35,270 --> 00:06:33,199 that conscious awareness takes about 500 172 00:06:37,110 --> 00:06:35,280 milliseconds now if you do the math in 173 00:06:40,550 --> 00:06:37,120 your head you'll say well jay 174 00:06:42,469 --> 00:06:40,560 goodness 300 plus 300 is 600 not 500 175 00:06:45,189 --> 00:06:42,479 your theory can't possibly be correct 176 00:06:46,390 --> 00:06:45,199 it's 100 milliseconds off well not 177 00:06:48,150 --> 00:06:46,400 exactly 178 00:06:50,309 --> 00:06:48,160 remember the first time it got to the 179 00:06:51,909 --> 00:06:50,319 frontal lobe was awareness the second 180 00:06:54,150 --> 00:06:51,919 time it gets to the frontal lobe is 181 00:06:56,070 --> 00:06:54,160 conscious awareness and it only takes 182 00:06:58,390 --> 00:06:56,080 200 milliseconds to get to the frontal 183 00:07:00,230 --> 00:06:58,400 lobe so the first cycle took 300 184 00:07:03,029 --> 00:07:00,240 milliseconds to lay down the memory 185 00:07:05,990 --> 00:07:03,039 substrate the second cycle only took 200 186 00:07:07,670 --> 00:07:06,000 milliseconds to get to the frontal lobe 187 00:07:09,990 --> 00:07:07,680 and that's when conscious awareness 188 00:07:11,189 --> 00:07:10,000 occurs so the math even works out very 189 00:07:12,550 --> 00:07:11,199 nicely 190 00:07:14,629 --> 00:07:12,560 and when the math works you got to 191 00:07:17,029 --> 00:07:14,639 wonder you know