As a third issue, philosophers who dispute the validity of the Turing test may feel that it is possible, at least in principle, for verbal report to be dissociated from consciousness entirely:  a philosophical zombie may give detailed verbal reports of awareness in the absence of any genuine awareness.Although verbal report is in practice the "gold standard" for ascribing consciousness, it is not the only possible criterion. In medicine, consciousness is assessed as a combination of verbal behavior, arousal, brain activity and purposeful movement. The last three of these can be used as indicators of consciousness when verbal behavior is absent. The scientific literature regarding the neural bases of arousal and purposeful movement is very extensive. Their reliability as indicators of consciousness is disputed, however, due to numerous studies showing that alert human subjects can be induced to behave purposefully in a variety of ways in spite of reporting a complete lack of awareness. Studies of the neuroscience of free will have also shown that the experiences that people report when they behave purposefully sometimes do not correspond to their actual behaviors or to the patterns of electrical activity recorded from their brains.Another approach applies specifically to the study of self-awareness, that is, the ability to distinguish oneself from others. In the 1970s Gordon Gallup developed an operational test for self-awareness, known as the mirror test. The test examines whether animals are able to differentiate between seeing themselves in a mirror versus seeing other animals.
Research in this area has not yet reached firm conclusions, but a recent questionnaire-based study identified eleven significant factors contributing to drug-induced states of consciousness: experience of unity; spiritual experience; blissful state; insightfulness; disembodiment; impaired control and cognition; anxiety; complex imagery; elementary imagery; audio-visual synesthesia; and changed meaning of percepts. Entropic brain
The entropic brain is a theory of conscious states informed by neuroimaging research with psychedelic drugs. The theory suggests that the brain in primary states such as rapid eye movement (REM) sleep, early psychosis and under the influence of psychedelic drugs, is in a disordered state; normal waking consciousness constrains some of this freedom and makes possible metacognitive functions such as internal self-administered reality testing and self-awareness. Criticism has included questioning whether the theory has been adequately tested. Theories of origin
The origin and mechanism of subjective experience within the brain remains unknown, although several scientific theories have been proposed. Roger Penrose has said that there are four such current theories.Integrated information theory (IIT) postulates that consciousness resides in the information being processed and arises once the information reaches a certain level of complexity. Orchestrated objective reduction (Orch OR) postulates that consciousness originates at the quantum level inside neurons. The mechanism is held to be a quantum process called objective reduction that is orchestrated by cellular structures called microtubules. However the details of the mechanism would go beyond current quantum theory. Medical aspects
The medical approach to consciousness is scientifically oriented.