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.     

Congruence Between Near-Death and Mystical Experience

Near-death experiences, altered states during a brush with death, may include mystical features like a sense of sacredness and divine union, timelessness/spacelessness, positive mood, noetic quality, and ineffability. We quantified mystical elements in near-death experience by comparing responses on the Mysticism Scale of 292 near-death experiencers and 34 persons who had come close to death without near-death experiences. Two thirds of near-death experiencers reported mystical experiences during their brush with death, compared to none of the comparison survivors. Near-death experiencers scored higher on the Mysticism Scale than did nonexperiencers; they endorsed noetic quality, positive affect, and unity most often and ego loss, timelessness/spacelessness, and ineffability least often. Depth of near-death experience was correlated highly with scores on the Mysticism Scale, but factor analysis of features during the brush with death yielded two distinct factors representing mystical and near-death elements, suggesting that near-death experiences have commonalities with, but can be differentiated from, mystical experience.     

Religious Experience,Religious Worldviews,and Near-Death Studies

The tense relation prevailing between representatives of conservative religion and other near-death researchers may be illumined by a look at the different functions religion has fulfilled in the past. Religion may be seen as centering on the meaningfulness of the world, on spiritual experience, or on salvation. In this essay, I sketch the place of these themes in the Great Religions. These themes have inherent mutual tensions that in the case of Christianity cannot necessarily be settled by appeal to the Bible, because different Christian groups have somewhat differing views of the source of authority. Furthermore, the Bible's authority is challenged by the results of modern scholarship. In light of these reflections, I see Michael Sabom's Light & Death (1998) as showing valuable data and insights but failing to respond to significant challenges.     

An Hawaiian Near-Death Experience

This paper is a case report of an Hawaiian near-death experience (NDE) from the early 1900s, which was uncovered in a turn-of-the-century monograph of Hawaiian folk tales (Thrum, 1907). The account differs from others in the same volume because it appears to be a real-life account rather than a folk tale. I describe similarities and differences from other Pacific area accounts, with particular attention to the only other Polynesian NDE account in the literature, a Maori NDE reported by Michael King in 1985.     

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.     

The Near-Death Experience: An Integration of Cultural, Spiritual, and Physical Perspectives

The near-death experience (NDE) has been studied extensively from two conflicting perspectives: that the NDE is a glimpse into an after-death state and that it is the result of a dying brain. Of late a third perspective has emerged, that of NDEs being culturally determined. I propose an integrated model in which all three perspectives are viewed with equal weight.     

Afterward: Making Meaning After a Frightening Near-Death Experience

The routes by which individuals attribute meaning to a near-death experience (NDE) appear to be similar, whether the experience was radiant or terrifying. This article explores three such avenues in relation to frightening experiences. I argue that resisting a terrifying NDE is likely to intensify fearfulness in an individual, and also that a similar effect occurs within society when this type of experience is resisted and misunderstood. The article concludes with an approach to synthesis and suggested techniques that may be useful in integrating the experience.     

Near-Death Experiences and Spiritual Well-Being

People who have near-death experiences often report a subsequently increased sense of spirituality and a connection with their inner self and the world around them. In this study, we examined spiritual well-being, using Paloutzian and Ellison’s Spiritual Well-Being Scale, among 224 persons who had come close to death. Participants who reported having near-death experiences reported greater spiritual well-being than those who did not, and depth of spiritual well-being was positively correlated with depth of near-death experience. We discussed the implications of these findings in light of other reported aftereffects of near-death experiences and of spiritual well-being among other populations.     

The Structure and Function of Near-Death Experiences: An Algorithmic Reincarnation Hypothesis

Hypothesizes that a near-death experience (NDE) is the subjective experience of having the state of consciousness in which a person experiences the last moment of his or her life being turned, in stages, into the state of consciousness experienced as the point of no return. The life review this, as is interpreted as a review of the states of consciousness experienced during our lives. Our responses to reviewing our own behaviors while in specific states reinforces and classifies them into those to repeat in future lives and those to avoid. We examine a modification of the traditional doctrine of reincarnation that takes into account biological and cultural evolution. This allows an understanding of how the attributes of NDEs could have undergone selection even though all opportunities for mating have already passed at the time of death.     

Three Fictional Deaths Compared with the Near-Death Experience

This study looks at three popular works of short fiction, by Leo Tolstoy, Ambrose Bierce, and Katherine Anne Porter, in which the main character dies at the end. Some similarities between these deaths and recent near-death experience (NDE) accounts are that the characters experience various kinds of distancing from their bodies, light and darkness play a role, and two of the stories include a final life review. The principal contrast is that dying in these stories is a lonely and mostly grim business, unsupported by a process that transcends the individual or by progress toward an afterlife or otherworld. The comparison helps define the modern sensibility about dying that is part of the cultural context for interest in NDEs.     

Inner Communications Following the Near-Death Experience

Inner communications following the near-death experience (NDE) have been reported by a number of authors. Although such communications are similar in some ways to the hallucinations heard by individuals with mental illness, they differ in that their effects are predominantly positive, whereas the hallucinations in mental illness exert predominantly negative effects. This article describes three individuals who reported experiencing inner communications subsequent to their NDEs. I suggest that these inner messages may be a form of intuition, and encourage further research into this phenomenon.     

A Prospective Analysis of Near-Death Experiences in Cardiac Arrest Patients

The objective of this study was to assess prospectively the frequency of near-death experiences (NDEs) in patients suffering a cardiac arrest, to characterize these experiences, and to assess their impact on psychosocial and spiritual attitudes. We prospectively evaluated all patients who suffered a cardiac arrest at Barnes-Jewish Hospital from April 1991 through February 1994, excluding those in the surgical intensive care unit, using a scale designed to specify criteria for NDEs, a recorded interview regarding the experience, an experience rating form, and a follow-up questionnaire regarding psychosocial attitudinal life changes. Of the 174 patients who suffered a cardiac arrest, 55 patients survived, of whom 30 patients were interviewable. Of those 30 patients interviewed, seven (23 percent) had a NDE, and four others (13 percent) reported an NDE during a prior life-threatening illness. The experiences were most frequently characterized by ineffability, peacefulness, painlessness, lack of fear, detachment from the body, and no sense of time or space. Significant differences were noted in the follow-up psychosocial assessment between patients who experienced an NDE and those who did not with regard to personal understanding of life and self, attitudes toward others, and changes in social customs and religious/spiritual beliefs. Of importance, patients reported it was beneficial to receive psychosocial support before hospital discharge after having an NDE. The results suggest that NDEs are fairly common in cardiac arrest survivors. The experiences consisted of a number of core characteristics and changed psychological, social, and spiritual awareness over both the short and long term.     

The Meaning and Intensity of the Near-Death Experience

This is the second in a three-part study exploring the hypothesis that near-death experiences (NDErs) assign the meaning of the NDE by using causal (effect) and semantic (affect) attributions. To test this hypothesis, 32 spontaneous verbal accounts of NDEs were analyzed. Each statement comprising the account was coded and classified according to the six attributional types in the Norton-Sahlman matrices of attributional classification. On the bases of these findings, we conclude that NDErs abstract the most significant aspects of meaning from their experiences by the use of attributions expressing the purposes of the experience and the intentions of the participants. Second, the meaning and intensity of the experience derives from attributions of both effect (causality) and affective significance: the assignment of subjective meaning to objects and events (affect). Third, the findings demonstrate that there are significant changes in NDErs' overt and affective states, reinforcing our argument that meaning and intensity of the NDE is a function of how the experiencer assigns causation, in addition to the affective significance that the experiencer places on the events constituting the NDE.     

Response to Commentaries on "The Ketamine Model of the Near-Death Experience ..."

The commentators on my paper raised several interesting issues. Set and setting do influence drug effects, but they also influence near-death experiences (NDEs). Some NDEs are very anxiety-generating, just like some ketamine experiences, though frightening NDEs have been ignored by most researchers. High frequency, compulsive ketamine use is rare. While dimethyltryptamine (DMT) may induce NDEs, this is far from typical, while NDE-like effects are typical of ketamine. Rapidity of onset is not related to the capacity of a drug to induce NDEs. The reality of endopsychosins is doubtful, but the reality of N-methyl-D-aspartate (NMDA) blocking mechanisms is not. NDEs and dream sleep may involve similar mechanisms. Altered states of consciousness do not require a normally functioning brain. Finally, I discuss the possible evolutionary advantage of the NDE mechanism.     

A Quantum Biomechanical Basis for Near-Death Life Reviews

Near-death life reviews pose a challenge to current memory research in terms of the sheer amount of instantaneous and empathetic information recall. Advances in quantum physics, biomechanics, holographic information theory, and consciousness studies support for the first time a fully realizable quantum biomechanical basis for near-death life reviews. We introduce the unifying paradigm of the quantum hologram as a non-local carrier of information. We further investigate the interrelated phenomena of non-local communications, and the electromagnetic zero-point field. Recent confirmation of the zero-point field lends credibility to vast memory storage capabilities outside the physical body. Microtubules are considered to be key components in non-local, quantum processes critical to human consciousness. Discovery of the liquid crystalline nature of the human body provides further support for our model. Microtubules, deoxyribonucleic acid (DNA), and the entire brain are described as communicating non-locally with virtually unlimited memory storage capacity.     

Near-Death Experiences, Shamanism, and the Scientific Method

The first 20 years of near-death studies have thoroughly documented the existence of this phenomenon. The field of near-death studies appears to be evolving from a purely academic one to include an applied, clinical component. I discuss the overlap between shamanism and near-death experiences (NDEs) and suggest that the study of shamanism would be helpful in more fully understanding this phenomena and beginning the development of an applied methodology. Although it may be difficult to verify subjective accounts of NDEs and shamanic journeys, from a clinical stand-point it may not be necessary to do so in order to develop a technique that passes the test of scientific scrutiny.     

Parallels Between Near-Death Experience Prophetic Visions and Prophecies from the Bible and Mormon Holy Writ

In 1982, Kenneth Ring identified a phenomenon where some near-death experiencers were permitted to see a picture of the Earth's future as a prophetic vision or PV. In his study of the PV, Ring identified five elements of the PV for the future of the Earth as geophysical changes, meteorological changes, supply and economic breakdowns, nuclear war, and a new era of love and world peace. He also mentioned two other features, the death of many and a time frame for the elements. A comparison of the events of near-death experience prophetic visions of the Earth's future and prophecies from the Bible and the Mormons' Doctrine and Covenants shows nearly complete agreement. These catastrophic events are prophesied to occur on the Earth into the 21^st century and to culminate with a new world of peace that is constituted of good people.     

God, Tragedy, and the Near-Death Experience: Evaluating Kushner's Perspectives on Theodicy

This article evaluates Harold Kushner's original and reconstructed perspectives on God and the theodicic problem on the basis of research on the near-death experience (NDE) and related phenomena. In response to a personal tragedy, Kushner reconstructed his thinking about God and tragedy from his original Causation-Power perspective to an Inspiration-Love perspective. The Causation-Power perspective posits that God causes human events and that tragic events do not actually contradict God's purpose or will, although tragic events may result from the human freedom to disobey God and suffer punitive consequences. In the Inspiration-Love perspective, human freedom expands to mean that God does not cause all events: God does not cause tragedy, suffers with the sufferer, and can intervene against tragic events only by inspiring people to cope with tragedy and care for others. Although the research findings are consistent with Kushner's emphasis on love and inspiration, the theme of divine power and purpose is also evident. Hence, Kushner should not have rejected entirely his early (Causation-Power) perspective. Identified in the research are forms of inspiration that Kushner did not take into account in his reconstructed (Inspiration-Love) view. The Causation-Power and Inspiration-Love perspectives seem incompatible and neither alone solves the theodicic problem. Nonetheless, they do complement one another; a resolution would permit an integrative understanding of God and tragedy.     

Consciousness: The transcendentalist manifesto

Phenomenal consciousness, what it is like to have or undergo an experience, is typically understood as an empirical item – an actual or possible object of consciousness. Accordingly, the problem posed by phenomenal consciousness for materialist accounts of the mind is usually understood as an empirical problem: a problem of showing how one sort of empirical item – a conscious state – is produced or constituted by another – a neural process. The development of this problem, therefore, has usually consisted in the articulation of an intuition: no matter how much we know about the brain, this will not allow us to see how it produces or constitutes phenomenal consciousness. Developing a theme first explored by Kant, and then later by Sartre, this paper argues that the real problem posed by phenomenal consciousness is quite different. Consciousness, it will be argued, is not an empirical but a transcendental feature of the world. That is, what it is like to have an experience is not something of which we are aware in the having of that experience, but an item in virtue of which the genuine (non-phenomenal) objects of our consciousness are revealed as being the way they are. Phenomenal consciousness, that is, is not an empirical object of awareness but a transcendental condition of the possibility of there being empirical objects of awareness.     

The Near-Death Experience as a Shamanic Initiation: A Case Study

The field of near-death studies shares a number of interesting, often compelling, similarities with the ancient spiritual tradition known as shamanism. Not least among these similarities is the fact that a near-death experience (NDE) is a time-honored form of shamanic initiation. I present a case example illustrating how a deep NDE can propel a person who had no prior knowledge or interest in shamanism into spontaneous, often classic, shamanic experiences, while living an apparently normal life in the midst of modern Western society.