{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T04:35:48Z","timestamp":1790397348955,"version":"4.1.0"},"reference-count":44,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2025,9,23]],"date-time":"2025-09-23T00:00:00Z","timestamp":1758585600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,12,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Over the past decade, it has become apparent that up to 25% of behaviourally unresponsive patients with acute or chronic disorders of consciousness reveal high spatio-temporal complexity following a direct electrical or magnetic pulse to the brain, highly differentiated EEG responses or voluntary modulation of their brain activity on command, each of which has been interpreted, to varying degrees, as evidence of consciousness.<\/jats:p>\n                  <jats:p>Practitioners designate this phenomenon using a dizzying variety of terms. The realization that \u2018unresponsiveness\u2019 does not equate to \u2018unconsciousness\u2019 changes how patients should be assessed and how the medical team communicates with them, their families and the world at large. We propose that the term \u2018covert consciousness\u2019 be used in all such communications to designate this subcategory of behaviourally unresponsive patients, with context-appropriate qualifiers and counselling accompanying its use.<\/jats:p>","DOI":"10.1093\/brain\/awaf349","type":"journal-article","created":{"date-parts":[[2025,9,20]],"date-time":"2025-09-20T11:52:38Z","timestamp":1758369158000},"page":"4248-4252","source":"Crossref","is-referenced-by-count":11,"title":["Covert consciousness: what\u2019s in a name?"],"prefix":"10.1093","volume":"148","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5095-5583","authenticated-orcid":false,"given":"Charl\u00e8ne","family":"Aubinet","sequence":"first","affiliation":[{"name":"Coma Science Group, GIGA Institute, University of Li\u00e8ge , Li\u00e8ge 4000 ,","place":["Belgium"]},{"name":"NeuroRehab & Consciousness Clinic, Neurology Department, University Hospital of Li\u00e8ge , Li\u00e8ge 4000 ,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"Claassen","sequence":"additional","affiliation":[{"name":"Disorders of Consciousness Laboratory, Columbia University Irving Medical Center , New York, NY 10032 ,","place":["USA"]},{"name":"Department of Neurology, NewYork-Presbyterian Hospital , New York, NY 10032 ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7235-8456","authenticated-orcid":false,"given":"Brian L","family":"Edlow","sequence":"additional","affiliation":[{"name":"Department of Neurology, Center for Neurotechnology and Neurorecovery, Massachusetts General Hospital and Harvard Medical School , Boston, MA 02114 ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8181-0643","authenticated-orcid":false,"given":"David","family":"Fischer","sequence":"additional","affiliation":[{"name":"Department of Neurology, Recovery of Consciousness via Evidence-Based Medicine and Research (RECOVER) Program, Perelman School of Medicine, University of Pennsylvania , Pennsylvania, Philadelphia 19104 ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivia","family":"Gosseries","sequence":"additional","affiliation":[{"name":"Coma Science Group, GIGA Institute, University of Li\u00e8ge , Li\u00e8ge 4000 ,","place":["Belgium"]},{"name":"NeuroRehab & Consciousness Clinic, Neurology Department, University Hospital of Li\u00e8ge , Li\u00e8ge 4000 ,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6482-8067","authenticated-orcid":false,"given":"Christof","family":"Koch","sequence":"additional","affiliation":[{"name":"Brain & Consciousness, Allen Institute , Seattle, WA 98109 ,","place":["USA"]},{"name":"Tiny Blue Dot Foundation , West Hollywood, CA 90069 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