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The analysis of total loss of consciousness illustrates the varied ways in which the different authors resolved - in their corresponding periods and contexts - the tension between body and soul. Despite their diverse approaches, all the medical writers under scrutiny took for granted the existence of a soul, its intervention in this kind of conditions, and its bonds to the body as determiner of the clinical presentation. Particularly, they grappled to organise the mental capacities and explain how they were affected in the different forms of impaired consciousness.
Total loss of consciousness is nowadays mostly framed as a global alteration of brain activity. In antiquity, doctors often alluded to this symptom with compound terms of psuchê or anima, and they understood the body and the soul to be involved - to different extents - in the phenomenon. Consequently, by exploring how they conceived this condition, it is possible not only to better understand their idea of consciousness, but also to get a hint of how the envisaged the relation between body and soul.
Post-Hellenistic authors took some Hippocratic ideas and terminology to build their own theories about the different forms of losing consciousness, and about the relationship between body and soul. Also, they presented a clearer distinction between the two forms of total loss of consciousness (to the extent that they described a new disease, where the body was primarily affected but not the soul). Celsus’ description of fainting suggests that his idea of soul was influenced by Epicurean corpuscular theories with a rational and an irrational component. Aretaeus, in his turn, was majorly concerned with the mechanisms that produced fainting, where he included a tangle of ideas that included loss of heat, loss of tension, affection in the blood or in the heart, and sometimes, the separation of the soul. However, his idea of psuchê was rather erratic, and his way of organizing mental capacities was not consistent throughout the treatise.
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