Adjustment and the near-death experience: A conceptual and therapeutic model

Most mental health practitioners, and counseling psychologists in particular, possess skills for helping near-death experiencers. What is needed is a conceptual framework that is both familiar to practitioners and highly relevant to that client group. Cross-cultural counseling in general, and the consideration of world views more specifically, are suggested. Using that framework, the world view assimilated during the near-death experience (NDE) is viewed as being in contrast to that of the old self, significant others, and the majority culture. The difficulties reported by NDErs are considered analogous to those associated with culture shock. The world views of the practitioner, NDEr, and relevant others should be taken into account in the formulation of psychoeducational and therapeutic interventions.