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.     

A Child's Encounter with the Devil: An Unusual Near-Death Experience with Both Blissful and Frightening Elements

I describe the near-death experience (NDE) of a 6-year-old boy who encountered both the devil and God following a near-fatal car accident, and compare recent recollections of the event with those made four years earlier. I discuss the aftereffects of this experience, and review the findings of earlier studies of frightening NDEs.     

Knowledge and Attitudes of Hospital Nurses in Italy Related to Near-Death Experiences

I distributed Nina Thornburg's Near-Death Phenomena Knowledge and Attitudes Questionnaire to 750 nurses in three Verona hospitals, and received 476 completed questionnaires. Questionnaire respondents had a modest knowledge of near-death experiences (NDEs). Nevertheless, respondents expressed a positive attitude towards NDEs in general, and towards patients who had had NDEs. Thirty-four percent of the nurses had personally encountered NDErs, and those nurses reported a higher level of knowledge than their colleagues who had not had that opportunity. Furthermore, in relation to the global sample, nurses who had encountered an NDEr showed attitudes that were more positive regarding both the NDE itself and the type of assistance they offered NDErs.     

Shared Near-Death and Related Illness Experiences: Steps on an Unscheduled Journey

This paper discusses the key social features in shared journeys into near-death experiences (NDEs) and related illness experiences of other people. Of special interest in this paper is the way that those persons who are not ill or near death account for their sharing of these experiences. These are often people who are caregivers or intimates of NDErs or dying people but who claim to share part of the NDE or dying experience. We provide case examples to illustrate the essential psychological and social experiences that these people undergo during their joint experiences with NDErs and other seriously ill people. From an analysis of the recurrent themes emergent in these joint experiences we identify and discuss the major conceptual steps in the creation of their personal explanations: (1) Exit the Familiar, (2) Extraordinary Experiences, (3) Extraordinary Experiences End, (4) What Happened to Me? (5) The World Responds, and (6) The Return of the Native. In the final analysis, the processes that these people undergo in the search for explanations is similar in most respects to those at the center of near-death and other related illness experiences.     

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.     

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 Evidential Value of Near-Death Experiences for Belief in Life After Death

In this paper, I explore the issue of what evidential value near-death experiences (NDEs) offer for belief in life after death. I survey the major positions on this issue, ranging from writers who believe that NDEs already offer convincing evidence for life after death, to physicalists who believe that they offer, at best, a very weak case. I argue that the present NDE evidence does suggest the possibility of life after death; however, such evidence is not yet overpowering or convincing. However, I go on to argue that NDEs do offer persuasive evidence for life after death for the individual who has the NDE. I end by suggesting that further research should be done on the most impressive type of NDE evidence for life after death, veridical perceptions during an NDE.     

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.     

A systematic analysis of distressing near-death experience accounts

ABSTRACT

Near-death experiences (NDEs) are usually associated with positive affect, however, a small proportion are considered distressing. We aimed to look into the proportion of distressing NDEs in a sample of NDE narratives, categorise distressing narratives according to Greyson and Bush’s classification (inverse, void or hellish), and compare distressing and “classical” NDEs. Participants wrote down their experience, completed the Memory Characteristics Questionnaire (assessing the phenomenology of memories) and the Greyson scale (characterising content of NDEs). The proportion of suicidal attempts, content and intensity of distressing and classical NDEs were compared using frequentist and Bayesian statistics. Distressing NDEs represent 14% of our sample (n?=?123). We identified 8 inverse, 8 hellish and 1 void accounts. The proportion of suicide survivors is higher in distressing NDEs as compared to classical ones. Finally, memories of distressing NDEs appear as phenomenologically detailed as classical ones. Distressing NDEs deserve careful consideration to ensure their integration into experiencers’ identity.     

Prophetic Revelations in Near-Death Experiences

Prophetic revelations in near-death experiences (NDEs) are a fourth type of flashforwards. Prophetic revelations are similar to another type of flashforward called the prophetic vision, which was identified in 1982 by Kenneth Ring. Like prophetic visions, prophetic revelations are a phenomenon in which NDErs are given a knowledge of the earth's future; they have a global or world focus. Prophetic revelations differ from prophetic visions in that events in the earth's future are told or revealed to the NDEr by a deceased relative or some otherworld person during their NDE, rather than in a visual display, and they are less detailed. Four categories of flashforwards have now been identified. In addition to the prophetic revelation and the prophetic vision are the other flashforwards, the personal flashforward and the otherworld personal future revelation (OPFR). The major features that distinguish these different flashforwards are their focus (global or personal), method of delivery, and detail. All flashforward types occur in a small number of cases and during deep NDEs.     

Near-death experiences and religion: A further investigation

The relationship between religion and near-death experiencers (NDEs) was examined by interviewing 40 near-death experiences who were given a series of instruments to measure religious orientation and religious change. No relationship was found between religious orientation prior to the NDE and the depth of the NDE. However, a significant correlation was found between the depth of the NDE and a subsequent increase both in the importance of religion and in religious activity. Various theoretical explanations of NDEs were examined to account for these findings.     

An Israeli account of a near-death experience: A case study of cultural dissonance

The text of an Israeli near-death experience (NDE) is presented in translation from the Hebrew. This account is contrasted with the traditional Hebrew sources on NDEs or their equivalents, which formed part of the NDEr's native subculture. In the present case, the lack of congruence between the reported NDE and the expected cultural form led to intense confusion described by the NDEr. Further study is needed of folk traditions of NDEs.     

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.     

The near-death experience of a nonverbal person with congenital quadriplegia

This article describes the near-death experience (NDE) a 39-year-old man born with severe spastic quadriplegia had when he was two and one-half years old. Nonverbal because of cerebral palsy, the man was able to communicate about his experience after he heard a therapist talking to another person about NDEs. The man experienced a fairly typical NDE and has had seven subsequent out-of-body experiences, the latter hypothesized as temporary relief from his physical pain resulting from muscular spasticity.     

A critique of Kellehear's transcendent society

Allan Kellehear argued that the otherworld society envisioned in near-death experiences (NDEs) is similar to utopian societies. However, his cultural analysis, based on 9 Mormon NDEs, did not reflect the diversity of near-death visions from other cultures. I suggest that these Mormon NDEs were neither as utopian as Kellehear assumed nor representative of contemporary NDE reports, and that a more complete analysis would reveal a variety of NDEs and otherworld visions reflecting the experiencers' sociocultural back-ground. Robert Bellah's model of religious evolution provides a model for charting the NDE's change over time and cultures, and allows us to differentiate the perennial features of the NDE from the transient culturally-determined ones — a first step in understanding the role of NDEs in the quest for an ideal society.Howard Mickel, Ph.D., formerly Chairman of the Department of Religion at Wichita State University, is currently Director of the Theta Project, an educational and research effort focusing on near-death and related experiences.     

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.     

Changes in religious beliefs,attitudes, and practices following near-death experiences: An Australian study

This study examined changes in religious beliefs, attitudes, and practices in the lives of 50 near-death experiencers. I attempted to clarify whether these changes were to greater religiousness or to a deeper spirituality. I found that before the near-death experience (NDE), my respondents were no more religious or spiritually inclined than the general Australian population. Following the NDE there was a statistically significant shift towards spirituality on most items investigated.