Consciousness and the rabbit holes of delirium

Authors: Eeles, E., Ward, S., Teodorczuk, A., Dissanayaka, N. and Burianová, H.

Journal: Medical Hypotheses

Volume: 144

eISSN: 1532-2777

ISSN: 0306-9877

DOI: 10.1016/j.mehy.2020.110260

Abstract:

Delirium is a common disorder in hospitalized older adults and the defining characteristic is a disturbance of consciousness. Unfortunately, there are currently no testable measures of consciousness as pertains to its disruption in delirium. Not surprisingly rates of recognition of delirium suffer. Arguably, a greater understanding of the quantum of consciousness may improve delirium diagnosis through better diagnostic tools. Candidate dimensions of consciousness derived from fields of psychology, psychiatry, and philosophy are discussed and relevance to delirium explored. Based upon existing literature in the field of consciousness we identify the pre-reflective state, experiential awareness, and functional networks as candidate sites that may be affected in delirium. Opportunities for clinical instrument development and how these tools can be tested are discussed. We conclude that consciousness content may not hold to a unitary measurement, but facets of its integrity that are impacted in delirium are open to further exploration. Disorders in pre-reflective status, experiential awareness, and functional networks may represent the measurable “rabbit holes” of consciousness disturbance.

http://eprints.bournemouth.ac.uk/34621/

Source: Scopus

Consciousness and the rabbit holes of delirium.

Authors: Eeles, E., Ward, S., Teodorczuk, A., Dissanayaka, N. and Burianová, H.

Journal: Med Hypotheses

Volume: 144

Pages: 110260

eISSN: 1532-2777

DOI: 10.1016/j.mehy.2020.110260

Abstract:

Delirium is a common disorder in hospitalized older adults and the defining characteristic is a disturbance of consciousness. Unfortunately, there are currently no testable measures of consciousness as pertains to its disruption in delirium. Not surprisingly rates of recognition of delirium suffer. Arguably, a greater understanding of the quantum of consciousness may improve delirium diagnosis through better diagnostic tools. Candidate dimensions of consciousness derived from fields of psychology, psychiatry, and philosophy are discussed and relevance to delirium explored. Based upon existing literature in the field of consciousness we identify the pre-reflective state, experiential awareness, and functional networks as candidate sites that may be affected in delirium. Opportunities for clinical instrument development and how these tools can be tested are discussed. We conclude that consciousness content may not hold to a unitary measurement, but facets of its integrity that are impacted in delirium are open to further exploration. Disorders in pre-reflective status, experiential awareness, and functional networks may represent the measurable "rabbit holes" of consciousness disturbance.

http://eprints.bournemouth.ac.uk/34621/

Source: PubMed

Consciousness and the rabbit holes of delirium

Authors: Eeles, E., Ward, S., Teodorczuk, A., Dissanayaka, N. and Burianova, H.

Journal: MEDICAL HYPOTHESES

Volume: 144

eISSN: 1532-2777

ISSN: 0306-9877

DOI: 10.1016/j.mehy.2020.110260

http://eprints.bournemouth.ac.uk/34621/

Source: Web of Science (Lite)

Consciousness and the rabbit holes of delirium

Authors: Eeles, E., Ward, S., Teodorczuk, A., Dissanayaka, N. and Burianová, H.

Journal: Medical Hypotheses

Volume: 144

eISSN: 1532-2777

ISSN: 0306-9877

DOI: 10.1016/j.mehy.2020.110260

Abstract:

© 2020 Delirium is a common disorder in hospitalized older adults and the defining characteristic is a disturbance of consciousness. Unfortunately, there are currently no testable measures of consciousness as pertains to its disruption in delirium. Not surprisingly rates of recognition of delirium suffer. Arguably, a greater understanding of the quantum of consciousness may improve delirium diagnosis through better diagnostic tools. Candidate dimensions of consciousness derived from fields of psychology, psychiatry, and philosophy are discussed and relevance to delirium explored. Based upon existing literature in the field of consciousness we identify the pre-reflective state, experiential awareness, and functional networks as candidate sites that may be affected in delirium. Opportunities for clinical instrument development and how these tools can be tested are discussed. We conclude that consciousness content may not hold to a unitary measurement, but facets of its integrity that are impacted in delirium are open to further exploration. Disorders in pre-reflective status, experiential awareness, and functional networks may represent the measurable “rabbit holes” of consciousness disturbance.

http://eprints.bournemouth.ac.uk/34621/

Source: Manual

Preferred by: Hana Burianová

Consciousness and the rabbit holes of delirium.

Authors: Eeles, E., Ward, S., Teodorczuk, A., Dissanayaka, N. and Burianová, H.

Journal: Medical hypotheses

Volume: 144

Pages: 110260

eISSN: 1532-2777

ISSN: 0306-9877

DOI: 10.1016/j.mehy.2020.110260

Abstract:

Delirium is a common disorder in hospitalized older adults and the defining characteristic is a disturbance of consciousness. Unfortunately, there are currently no testable measures of consciousness as pertains to its disruption in delirium. Not surprisingly rates of recognition of delirium suffer. Arguably, a greater understanding of the quantum of consciousness may improve delirium diagnosis through better diagnostic tools. Candidate dimensions of consciousness derived from fields of psychology, psychiatry, and philosophy are discussed and relevance to delirium explored. Based upon existing literature in the field of consciousness we identify the pre-reflective state, experiential awareness, and functional networks as candidate sites that may be affected in delirium. Opportunities for clinical instrument development and how these tools can be tested are discussed. We conclude that consciousness content may not hold to a unitary measurement, but facets of its integrity that are impacted in delirium are open to further exploration. Disorders in pre-reflective status, experiential awareness, and functional networks may represent the measurable "rabbit holes" of consciousness disturbance.

http://eprints.bournemouth.ac.uk/34621/

Source: Europe PubMed Central

Consciousness and the rabbit holes of delirium.

Authors: Eeles, E., Ward, S., Teodorczuk, A., Dissanayaka, N. and Burianová, H.

Journal: Medical Hypotheses

Volume: 144

ISSN: 0306-9877

Abstract:

Delirium is a common disorder in hospitalized older adults and the defining characteristic is a disturbance of consciousness. Unfortunately, there are currently no testable measures of consciousness as pertains to its disruption in delirium. Not surprisingly rates of recognition of delirium suffer. Arguably, a greater understanding of the quantum of consciousness may improve delirium diagnosis through better diagnostic tools. Candidate dimensions of consciousness derived from fields of psychology, psychiatry, and philosophy are discussed and relevance to delirium explored. Based upon existing literature in the field of consciousness we identify the pre-reflective state, experiential awareness, and functional networks as candidate sites that may be affected in delirium. Opportunities for clinical instrument development and how these tools can be tested are discussed. We conclude that consciousness content may not hold to a unitary measurement, but facets of its integrity that are impacted in delirium are open to further exploration. Disorders in pre-reflective status, experiential awareness, and functional networks may represent the measurable “rabbit holes” of consciousness disturbance.

http://eprints.bournemouth.ac.uk/34621/

Source: BURO EPrints