Neuropsychology of consciousness: some history and a few new trends

Consciousness is a global activity of the nervous system. Its physiological and pathological mechanisms have been studied in relation to the natural sleep-wake cycle and various forms of normal or morbid unconsciousness, mainly in neurophysiology and clinical neurology. Neuropsychology has been more interested in specific higher brain functions, such as perception and memory and their disorders, rather than in consciousness per se. However, neuropsychology has been at the forefront in the identification of conscious and unconscious components in the processing of sensory and mnestic information. The present review describes some historical steps in the formulation of consciousness as a global brain function with arousal and content as principal ingredients, respectively, instantiated in the subcortex and the neocortex. It then reports a few fresh developments in neuropsychology and cognitive neuroscience which emphasize the importance of the hippocampus for thinking and dreaming. Non-neocortical structures may contribute to the contents of consciousness more than previously believed.