Does integrated information theory make testable predictions about the role of silent neurons in consciousness?

Tononi et al. claim that their integrated information theory of consciousness makes testable predictions. This article discusses two of the more startling predictions, which follow from the theory's claim that conscious experiences are generated by inactive as well as active neurons. The first prediction is that a subject's conscious experience at a time can be affected by the disabling of neurons that were already inactive at that time. The second is that even if a subject's entire brain is "silent," meaning that all of its neurons are inactive (but not disabled), the subject can still have a conscious experience. A few authors have noted the implausibility of these predictions-which I call the disabling prediction and the silent brain prediction-but none have considered whether they are testable. In this article, I argue that they are not. In order to make this case, I first try to clarify the distinction between active, inactive (i.e. silent), and inactivated (i.e. disabled) neurons. With this clarification in place, I show that, even putting aside practical difficulties, it is impossible to set up a valid test of either the disabling prediction or the silent brain prediction. The conditions of the tests themselves are conditions under which a response from the subject could not reasonably be interpreted as evidence of consciousness or change in consciousness.

Health outcomes and retention in care following release from prison for patients of an urban post-incarceration transitions clinic.

Chronic health conditions are overrepresented among prisoners who often face barriers to medical care following release. Transitions clinics seek to provide timely access to medical care following release. This retrospective cohort study investigated care delivery and health outcomes for recently released prisoners receiving care at the Bronx Transitions Clinic. Among 135 recently released prisoners, median time from release to initial medical visit was 10 days (IQ Range: 5-31). Six-month retention in care was high for HIV-infection (86%), but lower for opioid dependence (33%), hypertension (45%) and diabetes (43%). At six months, 54% of HIV-patients had a suppressed viral load, but fewer buprenorphine-treated patients reduced opioid use (19%), and fewer hypertensive and diabetic patients reached respective blood pressure (35%) and hemoglobin A1c (14%) goals. Access to medical care is necessary but not sufficient to control chronic health conditions. Additional interventions are necessary for formerly incarcerated people to achieve optimal health outcomes.

A description of an urban transitions clinic serving formerly incarcerated people.

Chronic health conditions are overrepresented among jail or prison inmates but often go untreated during incarceration and following release. We describe the Bronx Transitions Clinic, a partnership between a community-based organization and an academic medical center, which facilitates connections to medical care for formerly incarcerated people.