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. 2019 May 7;10:719. doi: 10.3389/fpsyg.2019.00719

Table 2.

Levels, types, contents, and alterations of self-consciousness (based on Damasio et al., 1999; Decety and Sommerville, 2003; Rochat, 2003; Parnas and Henriksen, 2014; Keromnes et al., 2017).

Consciousness
Levels of consciousness Pre-reflexive consciousness (implicit) Early appearance, relies on bodily perception
    •Level 1: Differentiation     •Relies on the experience of own bodily movements
    •Level 2: Situation     •Relies on intermodal sensory perception of the own body
Reflexive consciousness (explicit) The self is expressed explicitly
    •Level 3: Identification     •Identification of the self in the mirror
    •Level 4: Permanence     •Identification of a permanent self (invariant over time), in pictures and movies
Self-consciousness (explicit) Later appearance, relies on mental representations
    •Level 5: “Meta” self-awareness     •Notably, representations of how the child is perceived by others
Types of consciousness Agency Consciousness of volition and ownership
Distinctiveness Consciousness of uniqueness
Personal continuity Consciousness of continuity through time
Reflection Consciousness of consciousness
Contents of consciousness Physical Physical features
Active Action skills
Psychological Traits and values
Social/relational/collective Social role and membership, reputation, relationship to others
Alterations of self-conscIousness Presence The sense of personal experience becomes affected
Sense of Corporeality Striking tendency to experience one’ s body predominantly as an object: an increasing experiential distance between subjectivity and corporeality (“disembodiment”)
Stream of Consciouness Mental contents become quasi-autonomous (“automatic” thoughts), without ipseity and with a rupture of the stream of thoughts (thoughts may appear as if from nowhere)
Self-demarcation Inferential reflection arises as a consequence of a deficient sense of myness
Solipsism and existential reorientation To be excessively preoccupied with philosophical, supernatural, or metaphysical themes

Five levels (Rochat, 2003) in contrast to a level zero corresponding to a level of confusion with absence of self-consciousness.