Theories of consciousness and psychiatric disorders – A comparative analysis

Abstract

Disorders of consciousness represent an efficient way to test theories of consciousness’ (ToCs) predictions. So far, ToCs have mostly focused on disorders of quantitative awareness such as coma, vegetative state, spatial neglect and hemianopia. Psychiatric disorders, by contrast, have received little attention, leaving their contribution to consciousness research almost unexplored. Therefore, this paper aims to assess the relation between ToCs and psychiatric disorders – that is, the extent to which current ToCs can account for psychiatric symptomatology. First, I review direct and indirect evidence linking each ToC to psychiatry disorders. Next, I differentiate ToCs based on their theoretical and methodological ground, highlighting how they distinctively address neural, cognitive, and phenomenological aspects of conscious experience and, in turn, psychiatric symptoms. Finally, I refer to one specific symptom to directly compare ToCs’ explanatory power. Overall, Temporospatial Theory of Consciousness (TTC) appears to provide a more comprehensive account of psychiatric disorders, suggesting that a novel dimension of consciousness (i.e., form of consciousness) may be needed to address more qualitative alterations in conscious experience.