Discussion of “The Ketamine Model of the Near-Death Experience: A Central Role for the N-Methyl-D-Aspartate Receptor,” by Earl L. R. Jansen

We review strengths and weaknesses of Karl Jansen's approach to the near-death experience (NDE). Strengths include his limited goals and avoidance of the trap of explaining all features of the NDE with his theory, although he surprisingly misunderstood our previously published position. Additionally, we applaud the possible intersection of psychological and biological theories, demonstrated in Jansen's biochemical explanations for the individualized variations in manifestation and adaptive role of the NDE. However, he failed to take into account the pitfalls in the use of analogy, modeling oversimplification, and in taking association as causality and causes as meaningful, in the arguments for his theory.     

Hospice nurses' knowledge and attitudes toward the near-death experience

I surveyed 60 hospice nurses regarding their knowledge and attitudes toward the near-death experience (NDE), using Thornburg's Near-Death Phenomena Knowledge and Attitudes Questionnaire. Most hospice nurses had previous work experience with an NDEr. Approximately half the nurses were knowledgeable about the NDE. All participants had a positive attitude toward near-death phenomena and toward caring for an NDEr. Recommendations include near-death phenomena inservice education for hospice nurses and inclusion of NDE content in nursing education programs.This paper was derived in part from her Master of Science in Nursing thesis submitted to Radford University.     

The impact of a near-death experience on family relationships

This study explores the influence that a near-death experience (NDE) had on the family relationships of eleven NDErs, based on in-depth interviews. I detail the changes in relationships with extensive quotes providing data on family interactions. Analysis of the adjustments of NDErs within their family relationships reveals that while some families cope well and are positively influenced by an NDE, others may encounter difficulty and cease to function as they previously did. The transformation that NDErs themselves undergo, as well as the attitudes of others toward the NDE and the NDEr, are instrumental in altering NDErs' family relationships.This paper was excerpted and adapted from his seniors honors thesis.     

Steady happiness on a wheel-chair. Denial,masochism or after-effects of a near-death experience?

The author describes his weird affective condition of steady happiness, after a severe haemorrhagic stroke, that brought to a sudden stop of all his professional activities and caused multiple severe motoric symptoms. The author suggests that his affective state, wholly different from his baseline condition before the stroke, is very close to what is reported by survivors of near-death experience (NDE), as long-time after-effects of the experience. Therefore, it is suggested that the psychoanalyst, in confronting with weird conditions of well-being, should consider the possibility of after-effects of an NDE, alongside with the operation of primitive defences.     

The Nature and Meaning of the Near-Death Experience for Patients and Critical Care Nurses

This study was designed to develop a conceptual framework for the near-death experience (NDE), reflecting its nature and meaning for the patient and the critical care nurse. The study used naturalistic inquiry to examine the question: What is the nature and meaning of an NDE and how has it influenced the individual's view of the self, the future, and feelings and beliefs about life and death? The NDE Scale (Greyson, 1983) was used with patients and semi-structured interview guides were used with both nurses and patients to explore the NDE from a comprehensive perspective. An NDE was defined as the report of “unusual” recollections associated with a period of unconsciousness during either serious illness or injury, or resuscitation from a cardiac or respiratory arrest. The sample included 12 patients who experienced an NDE and 19 nurses who cared for patients who experienced NDEs. This study highlighted the emotional aspects of the NDE. Patients described how the NDE transformed their lives and nurses reported how their experiences with patients changed them personally and professionally.     

The Near-Death Experience: Knowledge and Attitudes of College Students

There is a considerable literature documenting the effects of a near-death experience (NDE) on persons who actually undergo the experience, in terms of their attitudes and opinions about NDEs. However, investigations of how much nonexperiencers know about NDEs and their attitudes towards them are in short supply. This study examined the relationship in people who have not had an NDE between attitudes toward and knowledge of near-death experiences. Subjects were undergraduate students, with a mean age of 32 years. The Near-Death Phenomena Knowledge and Attitudes Questionnaire was employed to assess attitudes toward and knowledge of NDEs. Results indicated that both knowledge and attitudes were relatively normally distributed, and that level of knowledge significantly predicted attitudes towards NDEs, accounting for 34 percent of the common variance.     

Gewalt als Selbstschutz gegen Angst

The article reports on the treatment of a radically right wing young man. His ideology, acts of and inclination to violence and his ownership of weapons, including weapons of war, gave him the feeling of being different from the others and also gave him protection from anxiety, especially the fear of death, and some stability to his fragile ego. In his childhood, he functioned as the object of unfulfilled wishes of his mother, who was a war baby and was unable to empathise his feelings. During treatment, he relived traumatic childhood experiences. His powerful feelings and corresponding countertransference experience, opened ways for a comprehensive understanding of his inclination to violence and to new experiences.     

We See in the Dark

Do we need light to see? I argue that the black experience of a man in a perfectly dark cave is a representation of an absence of light, not an absence of representation. There is certainly a difference between his perceptual knowledge and that of his blind companion. Only the sighted man can tell whether the cave is dark just by looking. But perhaps he is merely inferring darkness from his failure to see. To get an unambiguous answer, I switch the focus from perceptual knowledge to non‐epistemic seeing. My conclusion is that we see even in the limiting case of absolute darkness – regardless of whether we believe we are seeing. We see little of pratical interest. But in terms of basic information, we see about as much as we do when the lights are on. Depending on what has gone before and after, we may even see ordinary objects.     

Pain as purgation: The role of pathologizing in the life of the mystic

Since Descartes, man has been defined in terms of body and spirit only. Yet there is a third term that is of crucial importance for the founding of a psychology of suffering. The realm of psyche, or soul, is a middle ground between the spirit and the body in which the psychological forces of one's life find expression. A psychological approach to the anguish of the suffering soul can be found within the writings of the early desert fathers as well as in the paintings of Hieronymus Bosch. The penitent must learn patience in the face of his suffering, before he can experience the joy of spiritual maturity.A famous anchorite came to take counsel on high things with the abbot Pastor, but the old man turned away his head, and the anchorite went away aggrieved. His disciple asked Pastor why he had refused to talk with a man so great and of such reputation in his own country, and the old man said that his visitor could speak of heavenly things, but that he himself was of earth. If he had spoken to me of the passions of the soul I could have answered him: but of the things of the spirit I am ignorant.Mr. Fischer is a member of the Psychology Department, University of Dallas, Irving, Texas 75060.     

On not being able to enter Noah's Ark

The paper describes the psychoanalytic psychotherapy of a patient who had originally been referred at the age of 15 because of his social isolation. In fact, he suffered from high-functioning Asperger's syndrome and lived in an almost delusional world populated by a number of imaginary companions, which he used to counteract a deep void and sense of deadliness within him. After five years of therapy, the patient was able to move on, allowing him to be successful in his academic studies, and to abandon his imaginary friends. This paper focuses on a subsequent phase of the therapy when the patient, as a young man, began to show an interest in and attraction to the world of intimate relationships. The paper is grounded in Meltzerian theory, especially his ideas about the role of beauty in the mother–child relationship, and about the world of intimate links as opposed to conventional ones.     

Clinical ethics case report: questionable capacity and the guidance of living wills

After falling from a roof, an older man lost neurological function below his face. In two days, the patient regained consciousness, but it was unclear whether he could communicate his preferences, whether due to injuries or difficulties with language. His family believed he could communicate with them, and that he was capable of making treatment decisions. The staff did not think to contact the hospital's largely inactive ethics consultation service for assistance, and instead looked to the patient's living will for guidance, even though the patient was not terminally ill, and his lack of capacity had not been determined.     

The body and sublimation in a violent male offender

A case study of a violent young man called Stan is presented to understand the nature and function of his violence as he negotiated his way through anxieties about heterosexuality and passivity stimulated by his adolescence. Stan’s early history and the clinical material are used to illustrate Armando Ferrari’s concept of the Concrete Original Object. As his psychotherapy progressed he utilised his talent for drawing to sublimate his violent activity into violent images, which, in turn, enabled him to reflect on his anxieties. Stan’s violence subsided and he was able to engage in a vocation and develop a long-term relationship with a woman.     

A Spirit in Need of Rest: Luther's Melancholia,Obsessive-Compulsive Disorder,and Religiosity

Male melancholia, rooted in early childhood experiences of perceived mother-loss, is intrinsically linked to religiosity. The Protestant Reformer Martin Luther suffered from melancholia that was related to, and exacerbated by, a corresponding obsessive-compulsive disorder. This essay makes a case for Luther's melancholia being grounded in both childhood beatings (at least one of which was carried out by his mother) and his subsequent search for an identity. Luther's melancholia also gave rise to life-long struggles with obsessive-compulsive anxieties. His religion, in which he believed he had discovered both an identity and a means for relief from his inner struggles, actually exacerbated his melancholia. He realized as an older man that religion had indeed become his substitute obsession and that a major part of his self had died. An argument for how Luther's melancholia and obsessive-compulsive disorder could have been alleviated is offered.     

A road less traveled: Vocation,sex, and religion

This chronicle of embodied experience charts the pilgrim's progress of a qualitative researcher during a research trip to New Mexico. The story traces a path from his spiritual awakening as a teenager, through his painful coming out in his thirties as a gay man, to an eventual collision of conflicting issues in his fifties while traveling on the road to a healing shrine with a group of Hispanic Roman Catholics. His participation as a researcher forces him to come to grips with the events of his life as he realizes the vital connection between body and soul in the long journey home.     

回到真切(Direct)的个体体验——从奥古斯丁及安萨里的忏悔录说起

宗教思想发展史上,两位有杰出贡献的哲学家不约而同地提出了,将宗教的超越与神圣意义,与个人的切身(Personal)体验相关起来的问题。基督教神学家奥古斯丁以其著名的《忏悔录》,展现了他如何从真切的生活体验(experience)中,感悟人性、神性及人与神的关系等普遍性问题;而伊斯兰教哲学家安萨里则从其辉煌的学术经历中,深刻反思人类在超越与神圣面前,认识能力所必然具有的局限性。重新理解和比较他们思想的独特性,相信对于我们看待人类共同面对的问题,从独特的个体角度出发,也有取之不尽的宝贵资源。     

濒死体验研究及其现实意义

论述了被科学界一直视为神秘现象的濒死体验,认为濒死体验就是指那些已经被判断为临床死亡的人被救活后所报告的他们死亡时的主观体验.介绍了典型濒死体验的特征和濒死体验的研究历史,特别是介绍了库布勒·罗斯和雷蒙德·穆迪的研究,最后探讨了濒死体验给人类的重要启示,并建议在我国开展濒死体验研究.     

Ego,moral, and faith development in near-death experiencers: Three case studies

Near-death experiencers (NDErs) commonly report shifts in basic values and attitudes, toward intensified compassion and a sense of unconditional love, sprituality, and a sense of mission, and away from materialism and competitiveness. Some researchers have suggested that these attitudinal shifts represent a new stage in human evolution, which will produce major social change. However, knowledge of these reputed NDE aftereffects has been based on NDErs' subjective reports, unverified by objective measures. This study examined relationships between three NDErs' levels of moral, ego, and faith development, as measured by standardized instruments, and extensive qualitative data describing their NDEs and personal attributes. The results suggest that currently available instruments, designed to measure the lower self, may not reflect the awakening to a transpersonal plane of functioning that follows an NDE.Dr. Newsome is in the private practice of psychotherapy and counseling. This paper was derived in part from her Ph.D. thesis submitted to Walden University.