Core consciousness, as elaborated principally by Antonio Damasio across two decades of neuroscientific writing, designates the most elemental stratum of conscious experience: a pulse-like, moment-bound sense of self generated each time an organism processes an object. It is rigorously distinguished from extended consciousness, which deploys autobiographical memory, working memory, and language to produce a temporally expansive, self-knowing mind. The distinction is not merely descriptive but neuroanatomical: core consciousness is underwritten by upper brain stem, hypothalamic, and thalamic structures, and its selective disruption — in epileptic automatism, akinetic mutism, or persistent vegetative state — reveals a dissociable substrate. Damasio’s architecture posits that core consciousness rests upon the proto-self and in turn grounds the autobiographical self; extended consciousness is therefore not a separate faculty but core consciousness iteratively applied to accumulated mnemonic objects. Depth-psychological adjacent thinkers such as van der Hart import the distinction via presentification theory, mapping core and extended presentification onto dissociative vulnerability, while developmental theorists like Siegel reference analogous hierarchies of consciousness in relational and linguistic maturation. The central tension within the corpus is whether this stratification constitutes a genuine biological discontinuity or a continuum of grades — a question Damasio himself revisits in 2010, cautioning against treating the categories as rigid. The concept matters to depth psychology because it locates the threshold between bare sentient existence and the narrative, temporally extended self that psychopathology, trauma, and therapeutic transformation presuppose.