2024
Cognitive Motor Dissociation in Disorders of Consciousness
Bodien Y, Allanson J, Cardone P, Bonhomme A, Carmona J, Chatelle C, Chennu S, Conte M, Dehaene S, Finoia P, Heinonen G, Hersh J, Kamau E, Lawrence P, Lupson V, Meydan A, Rohaut B, Sanders W, Sitt J, Soddu A, Valente M, Velazquez A, Voss H, Vrosgou A, Claassen J, Edlow B, Fins J, Gosseries O, Laureys S, Menon D, Naccache L, Owen A, Pickard J, Stamatakis E, Thibaut A, Victor J, Giacino J, Bagiella E, Schiff N. Cognitive Motor Dissociation in Disorders of Consciousness. New England Journal Of Medicine 2024, 391: 598-608. PMID: 39141852, PMCID: PMC7617195, DOI: 10.1056/nejmoa2400645.Peer-Reviewed Original ResearchConceptsFunctional magnetic resonance imagingTask-based fMRICognitive motor dissociationDisorders of consciousnessComa Recovery Scale-RevisedCognitive tasksMotor dissociationObserved responseBrain injuryVerbal commandsBrain traumaScale-RevisedMagnetic resonance imagingDisordersBrainParticipantsEtiological factorsAssociated with younger ageElectroencephalographyCohort of personsResonance imagingProspective cohort studyTaskElectroencephalography dataMedian age
2022
Syndromes in Search of a Name: Disorders of Consciousness, Neuroethics, and Nosological Humility
Fins J. Syndromes in Search of a Name: Disorders of Consciousness, Neuroethics, and Nosological Humility. 2022, 163-175. DOI: 10.1007/978-3-031-04935-4_18.Peer-Reviewed Original ResearchDisorders of consciousnessBrain injuryCognitive motor dissociationStruggle for ConsciousnessRecognition of consciousnessVegetative stateDiagnostic categorizationLimits of knowledgePermanent vegetative stateNosologyPersistent vegetative stateMotor dissociationCovert consciousnessNormative importanceBrainDisordersChronic vegetative stateConsciousnessSocial integrationHumilityEvolving storyNeuroimagingNeuroscienceMindfulnessRightsProceedings of the Second Curing Coma Campaign NIH Symposium: Challenging the Future of Research for Coma and Disorders of Consciousness
Mainali S, Aiyagari V, Alexander S, Bodien Y, Boerwinkle V, Boly M, Brown E, Brown J, Claassen J, Edlow BL, Fink EL, Fins JJ, Foreman B, Frontera J, Geocadin RG, Giacino J, Gilmore EJ, Gosseries O, Hammond F, Helbok R, Claude Hemphill J, Hirsch K, Kim K, Laureys S, Lewis A, Ling G, Livesay SL, McCredie V, McNett M, Menon D, Molteni E, Olson D, O’Phelan K, Park S, Polizzotto L, Javier Provencio J, Puybasset L, Venkatasubba Rao CP, Robertson C, Rohaut B, Rubin M, Sharshar T, Shutter L, Sampaio Silva G, Smith W, Stevens RD, Thibaut A, Vespa P, Wagner AK, Ziai WC, Zink E, I Suarez J. Proceedings of the Second Curing Coma Campaign NIH Symposium: Challenging the Future of Research for Coma and Disorders of Consciousness. Neurocritical Care 2022, 37: 326-350. PMID: 35534661, PMCID: PMC9283342, DOI: 10.1007/s12028-022-01505-3.Peer-Reviewed Original ResearchEthics and the 2018 Practice Guideline on Disorders of Consciousness
Peterson A, Young M, Fins J. Ethics and the 2018 Practice Guideline on Disorders of Consciousness. Neurology 2022, 98: 712-718. PMID: 35277446, PMCID: PMC9071367, DOI: 10.1212/wnl.0000000000200301.Peer-Reviewed Original Research
2021
Disorders of Consciousness, Disability Rights and Triage During the COVID-19 Pandemic
Fins J. Disorders of Consciousness, Disability Rights and Triage During the COVID-19 Pandemic. The Journal Of Philosophy Of Disability 2021, 1: 211-229. DOI: 10.5840/jpd20218174.Peer-Reviewed Original ResearchNew York State Task Force on LifeStruggle for ConsciousnessVentilator allocation guidelinesDisorders of consciousnessTask ForceNot consciousnessEthical integritySpring surgeAllocation guidelinesCOVID-19 pandemicClinical ethicistsAuthorsNew YorkCOVID-19LawBrain injuryConsciousnessDisordersEthicistsNewPeopleMotor outputEthics
2019
Disorders of Consciousness, Past, Present, and Future
Fins J. Disorders of Consciousness, Past, Present, and Future. Cambridge Quarterly Of Healthcare Ethics 2019, 28: 603-615. PMID: 31405394, DOI: 10.1017/s0963180119000719.Peer-Reviewed Original ResearchConceptsDisorders of consciousnessLegal obligationsPersistent vegetative stateConsciousness literatureNational Institute on DisabilityCognitive motor dissociationMinimally conscious stateCounter-narrativesAmerican Academy of NeurologyVegetative stateMotor dissociationCovert consciousnessObligationsConscious stateDisordersIndependent livingState
2018
Disorders of Consciousness, Agency, and Health Care Decision Making: Lessons From a Developmental Model
Wright M, Kraft C, Ulrich M, Fins J. Disorders of Consciousness, Agency, and Health Care Decision Making: Lessons From a Developmental Model. AJOB Neuroscience 2018, 9: 56-64. DOI: 10.1080/21507740.2018.1425755.Peer-Reviewed Original ResearchDisorders of consciousnessHealth care decision makingCare decision makingLegal systemPermanent incapacitySelf-determinationHealthDevelopmental modelDecision-making frameworkDecisionIncreasing roleDisordersPatientsPatient evolutionDecision makingRecovery processIncapacityPersonhoodPhysiciansAgenciesDisabilityMaximal extentParticipants
2016
Neuroethics and Disorders of Consciousness: Discerning Brain States in Clinical Practice and Research
Fins J. Neuroethics and Disorders of Consciousness: Discerning Brain States in Clinical Practice and Research. The AMA Journal Of Ethic 2016, 18: 1182. PMID: 28009244, DOI: 10.1001/journalofethics.2016.18.12.ecas2-1612.Peer-Reviewed Original ResearchConceptsDisorders of consciousnessMinimally conscious stateEnd-of-life careConscious stateEnd-of-lifeEthical obligationNeuropalliative careDeep brain stimulationPatientsBrain statesClinicians' ethical obligationsClinical practiceCivil rightsConsciousnessScientific advancesDiagnostic discernmentClinical researchBrain stimulationResearch decisionsDisordersFunctional communicationInvestigate useCareNeuroethicsPainBrain death and disorders of consciousness
Schiff N, Fins J. Brain death and disorders of consciousness. Current Biology 2016, 26: r572-r576. PMID: 27404252, DOI: 10.1016/j.cub.2016.02.027.Peer-Reviewed Original ResearchConceptsDisorders of consciousnessBrain-dead patientsBrain deathVegetative stateCognitive motor dissociationScientific knowledgeCognitive functionMinimally conscious stateNon-medical specialistsSocietal contextBrain statesConsciousnessConscious stateMotor dissociationBrainDisordersDead patientsConceptual frameworkLack of sustainabilityHigher levelsFutilityParadoxDistinctionOrgan Transplantation for Individuals with Neurodevelopmental Disorders
Overby K, Fins J. Organ Transplantation for Individuals with Neurodevelopmental Disorders. Cambridge Quarterly Of Healthcare Ethics 2016, 25: 272-281. PMID: 26957452, DOI: 10.1017/s0963180115000572.Peer-Reviewed Original ResearchConceptsPhysician referralRegional Transplant CenterHealthcare professionalsHealthcare systemHeart-lung transplantationNeurodevelopmental disordersFunctional impairmentWaiting listHealthcareProvision of accommodationMedical managementMedical needOrgan transplantationTransplant centersDown syndromeNational levelTransplantationOvert discriminationIndividualsAccess problemsReferralPhysiciansProfessionalsContemporary challengesDisordersChapter 15 Neuroethics and Disorders of Consciousness A Pragmatic Approach to Neuropalliative Care
Fins J. Chapter 15 Neuroethics and Disorders of Consciousness A Pragmatic Approach to Neuropalliative Care. 2016, 241-252. DOI: 10.1016/b978-0-12-800948-2.00015-7.Peer-Reviewed Original ResearchBrain damageMystery of consciousnessDisorders of consciousnessImpaired decision-making capacityClinical pragmatismDecision-making capacityHuman rights issuesAmerican pragmatic traditionBrain injuryMoral problemsBrainRights issuesDisordersClinical contextHuman consciousnessEthical challengesConsciousnessComplexity of researchArgument IImpaired consciousness
2015
Neuro-palliative care and disorders of consciousness
Fins J, Pohl B. Neuro-palliative care and disorders of consciousness. 2015, 285-291. DOI: 10.1093/med/9780199656097.003.0103.Peer-Reviewed Original ResearchPalliative care expertiseMinimally conscious stateBrain injuryPalliative carePalliative medicineCare expertiseCareDisorders of consciousnessConscious stateDefinition criteriaNihilistic attitudeInjuryPatientsDistressInterventionSurvivorsTherapeutic interventionsCliniciansDisordersNeuroprosthetic devicesSufferingMedicineAttitudes
2014
Disorders of consciousness after acquired brain injury: the state of the science
Giacino J, Fins J, Laureys S, Schiff N. Disorders of consciousness after acquired brain injury: the state of the science. Nature Reviews Neurology 2014, 10: 99-114. PMID: 24468878, DOI: 10.1038/nrneurol.2013.279.Peer-Reviewed Original ResearchConceptsApplication of functional neuroimagingFunctional neuroimagingDisorders of consciousnessRegulate arousalDiagnostic bordersConscious awarenessNeural systemsFamily adjustmentTreatment interventionsBehavioral featuresBrain injuryEnhanced outcomesElectrophysiological techniquesArousalNeuroimagingClinical syndromeComplicate patient managementEmpirical evidenceDisordersCovert signs
2013
Disorders of Consciousness Following Severe Brain Injury
Fins J, Schiff N. Disorders of Consciousness Following Severe Brain Injury. 2013, 162-174. DOI: 10.1093/acprof:oso/9780195389784.003.0013.Peer-Reviewed Original ResearchDisorders of consciousnessBrain statesInterviews of familiesTraditional nosologyBehavioral measuresFunctional communicationMinimally conscious stateNeuroimaging dataDiagnostic classificationMeasures of assessmentBrain injuryDisordersConscious stateBrainFamily experiencesClinical practiceNeuroimagingNosology
2011
Misuse Of The FDA’s Humanitarian Device Exemption In Deep Brain Stimulation For Obsessive-Compulsive Disorder
Fins J, Mayberg H, Nuttin B, Kubu C, Galert T, Sturm V, Stoppenbrink K, Merkel R, Schlaepfer T. Misuse Of The FDA’s Humanitarian Device Exemption In Deep Brain Stimulation For Obsessive-Compulsive Disorder. Health Affairs 2011, 30: 302-311. PMID: 21289352, DOI: 10.1377/hlthaff.2010.0157.Peer-Reviewed Original ResearchConceptsObsessive-compulsive disorderHumanitarian Device ExemptionSevere obsessive-compulsive disorderUS Food and Drug AdministrationFDA humanitarian device exemptionNeuropsychiatric disordersFood and Drug AdministrationDeep brain stimulationClinical trialsBrain stimulationDrug AdministrationDisordersPatientsFederal regulationsPatient safeguardsProcedure—isExemptionNeuroethics, neuroimaging, and disorders of consciousness: promise or peril?
Fins J. Neuroethics, neuroimaging, and disorders of consciousness: promise or peril? Transactions Of The American Clinical And Climatological Association 2011, 122: 336-46. PMID: 21686236, PMCID: PMC3116331.Peer-Reviewed Original ResearchConceptsFunctional magnetic resonance imagingDisorders of consciousnessPositron emission tomographyBehavior-based assessmentsMinimally conscious stateNeuroimaging dataNeuroimaging toolsBrain statesBrain injuryMagnetic resonance imagingNeuroimagingEmission tomographyConscious stateDisordersBrainResonance imagingNeuroimaging applicationsConsciousnessDiagnostic dilemmaTherapeutic useCommunication vectorNeuroethics
2009
The ethics of measuring and modulating consciousness: the imperative of minding time
Fins J. The ethics of measuring and modulating consciousness: the imperative of minding time. Progress In Brain Research 2009, 177: 371-382. PMID: 19818915, DOI: 10.1016/s0079-6123(09)17726-9.Peer-Reviewed Original ResearchConceptsMinimally conscious stateDisorders of consciousnessConscious stateView of timeHistory of medicineOver-arching metaphorModulate consciousnessFunctional neuroimagingScientific knowledgeSocial currentsVegetative patientsTemporal expectationsModern eraWilder PenfieldConsciousnessEvolving viewsBrain injuryDisordersVariable perspectiveSystems of careStatic entities
2008
Neuroethics and Neuroimaging: Moving Toward Transparency
Fins J. Neuroethics and Neuroimaging: Moving Toward Transparency. The American Journal Of Bioethics 2008, 8: 46-52. PMID: 18853386, DOI: 10.1080/15265160802334490.Peer-Reviewed Original ResearchConceptsDisorders of consciousnessDiagnostic nosologyNeural mechanismsMinimally conscious stateWorking brainDiagnostic categoriesNeuroimaging findingsTherapeutic agendaDiagnostic refinementNeuroimagingAge of neuroscienceMechanisms of recoveryBrain injuryAssessment ScaleTranslation of research findingsDisordersBrainConscious stateEthical conduct of researchClinical contextConduct of researchResearch findingsFunctional levelEthical conductNosology
2007
Neuroimaging and neuroethics: clinical and policy considerations
Fins J, Shapiro Z. Neuroimaging and neuroethics: clinical and policy considerations. Current Opinion In Neurology 2007, 20: 650-654. PMID: 17992084, DOI: 10.1097/wco.0b013e3282f11f6d.Peer-Reviewed Original ResearchConceptsMinimally conscious stateMechanisms of recoveryBrain injuryConscious stateMechanisms of brain recoveryFunctional imagingDiagnostic nosologyDisorders of consciousnessNeuroimaging responsesDiagnostic categoriesSevere brain injuryPremature disseminationNeuroimagingBrain recoveryDisordersHealth policyConsciousness disorderEthical implicationsTherapeutic approachesClinical diagnosisClinical practiceCliniciansPatientsNosologyImplications
2005
Clinical pragmatism and the care of brain damaged patients: toward a palliative neuroethics for disorders of consciousness
Fins J. Clinical pragmatism and the care of brain damaged patients: toward a palliative neuroethics for disorders of consciousness. Progress In Brain Research 2005, 150: 565-582. PMID: 16186050, DOI: 10.1016/s0079-6123(05)50040-2.Peer-Reviewed Original ResearchConceptsDisorders of consciousnessClinical pragmatismBrain-damaged patientsBrain damageMystery of consciousnessDamaged patientsImpaired decision-making capacityDecision-making capacityAmerican pragmatic traditionBrain injuryProblem-solvingBrainMoral problem-solvingDisordersClinical contextHuman consciousnessConsciousnessImpaired consciousnessPragmaticsClinical careAversionSocietal contextSelfPalliative careResearch