Giving the 'unconscious' a voice

Giving the 'unconscious' a voice
03 February 2010 by Celeste Biever
Magazine issue 2746. Subscribe and get 4 free issues.
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Editorial: In conversation with 'vegetative' patients

THE inner voice of people who appear unconscious can now be heard. For the first time, researchers have struck up a conversation with a man diagnosed as being in a vegetative state. All they had to do was monitor how his brain responded to specific questions. This means that it may now be possible to give some individuals in the same state a degree of autonomy.

"They can now have some involvement in their destiny," says Adrian Owen of the University of Cambridge, who led the team doing the work.

In an earlier experiment, published in 2006, Owen's team asked a woman previously diagnosed as being in a vegetative state (VS) to picture herself carrying out one of two different activities. The resulting brain activity suggested she understood the commands and was therefore conscious.

Now Owen's team has taken the idea a step further. A man also diagnosed with VS was able to answer yes and no to specific questions by imagining himself engaging in the same activities.

The results suggest that it is possible to give a degree of choice to some people who have no other way of communicating with the outside world. "We are not just showing they are conscious, we are giving them a voice and a way to communicate," says neurologist Steven Laureys of the University of Liège in Belgium, Owen's collaborator.