A scoping review for building a criticality-based conceptual framework of altered states of consciousness
Frontiers in Systems Neuroscience May 25, 2023 Charles Gervais, Louis-Philippe Boucher, Guillermo Martinez Villar et al. 25 citations
The healthy conscious brain is thought to operate near a critical state, balancing order and chaos for optimal information processing. This scoping review of 49 studies across seven altered states of consciousness (ASC)—including disorders of consciousness, sleep, anesthesia, epilepsy, psychedelics, delirium, and meditation—found that each category showed a deviation from this critical state. Most studies could identify a deviation but not its direction; however, a preliminary consensus indicates non-REM sleep reflects a subcritical state, epileptic seizures a supercritical state, and psychedelics are closer to criticality than normal waking consciousness. The evidence is limited and methodologically varied, but criticality may become an objective way to characterize ASC and guide treatments, such as using anesthesia or psychedelics to restore criticality in pathological brain states.