Ihre Suche

In Greek mythology, the river Styx represents the boundary between the land of the living and the land of the dead. In this book, leading experts in the field of near-death studies describe what people experience on the banks of this river. The authors teamed up to present innovative and cutting-edge research on a rich variety of end-of-life experiences, near-death experiences, coma experiences, and after-death communications.In addition to bearing enormous practical significance for healthcare, these interrelated experiences indicate that consciousness is more than a byproduct of brain chemistry. On the banks of the river Styx, consciousness may emerge from the dying brain like a phoenix, spreading its wings towards new horizons.

In an earlier study, Rupert Sheldrake, Pam Smart, and Michael Nahm reviewed accounts of end-of-life experiences (ELEs) involving non-human animals. They showed animal ELEs to be similar to human ELEs, suggesting common underlying processes. Here, we consider apparent after-death communications (ADCs) from non-human animals and compare them to accounts of ADCs from humans. We collected 442 accounts of animal ADCs from our own appeals and from reports in the literature. We found a close resemblance between ADCs from animals and from humans in the types of experience—dream visitations, a sense of presence, visual, auditory, tactile, and olfactory apparitions, and psychokinetic effects. As with human ADCs, the great majority of animal ADCs were reported to have occurred in the first hours or days after death, with a dramatic falling off over time. Moreover, our data show that people grieve their pets in much the same fashion as they grieve their human loved ones, suggesting that human bereavement studies would do well to take into account the animal data to which we draw attention. Doing so may help clarify issues regarding the fundamental nature of the experiences—determining whether they are best regarded as internal hallucinations, as living-agent-psi-mediated subjective or objective phenomena, or as actual contacts with the deceased—which in turn carries implications not only for academic studies of bereavement but for clinical practice with the bereaved.

The unexpected return of mental clarity and memory shortly before death in patients suffering from severe psychiatric and neurologic disorders, which we have called "terminal lucidity", has been reported in the medical literature over the past 250 years, but has received little attention. We review a range of terminal lucidity cases in order to encourage investigation of the mechanisms involved and possible insights into both the neuroscience of memory and cognition at the end of life and treatment of terminal illness. These examples include case reports of patients suffering from brain abscesses, tumors, strokes, meningitis, dementia or Alzheimer's disease, schizophrenia, and affective disorders. Several of these accounts suggest that during terminal lucidity, memory and cognitive abilities may function by neurologic processes different from those of the normal brain. We expect that significant contributions to better understanding the processes involved in memory and cognition processing might be gained through in-depth studies of terminal lucidity. Studying terminal lucidity might also facilitate the development of novel therapies. In addition, increased awareness of unusual end-of-life experiences could help physicians, caregivers, and bereaved family members be prepared for encountering such experiences, and help those individuals cope with them.

In an earlier study, Rupert Sheldrake, Pam Smart, and Michael Nahm reviewed accounts of end-of-life experiences (ELEs) involving non-human animals. They showed animal ELEs to be similar to human ELEs, suggesting common underlying processes. Here, we consider apparent after-death communications (ADCs) from non-human animals and compare them to accounts of ADCs from humans. We collected 442 accounts of animal ADCs from our own appeals and from reports in the literature. We found a close resemblance between ADCs from animals and from humans in the types of experience—dream visitations, a sense of presence, visual, auditory, tactile, and olfactory apparitions, and psychokinetic effects. As with human ADCs, the great majority of animal ADCs were reported to have occurred in the first hours or days after death, with a dramatic falling off over time. Moreover, our data show that people grieve their pets in much the same fashion as they grieve their human loved ones, suggesting that human bereavement studies would do well to take into account the animal data to which we draw attention. Doing so may help clarify issues regarding the fundamental nature of the experiences—determining whether they are best regarded as internal hallucinations, as living-agent-psi-mediated subjective or objective phenomena, or as actual contacts with the deceased—which in turn carries implications not only for academic studies of bereavement but for clinical practice with the bereaved.

It is generally assumed that nonresponsive people in comatose states are unconscious, especially when it is known that their neuronal circuits are not functioning normally, for example, due to severe anoxia and medically induced comas. Nevertheless, occasional reports suggest that sometimes, patients in such conditions can be fully aware of everything that happens around them. The present publication introduces a well-documented case of this kind. It concerns a patient in Israel who was diagnosed with cerebral edema and suffered severe anoxic brain damage that had already affected his brain stem. He was put in an induced coma to minimize the brain’s oxygen consumption. Still, he was expected to die within hours. However, the patient recovered unexpectedly. It turned out he had been fully conscious throughout the 44 hours he was in this coma. As a result, he was able to describe in detail every occurrence and conversation that had been held at his bedside throughout this time. This locked-in experience had an utterly traumatic impact on the patient. As a result, practices for coma patient care have been adapted and improved in Israel. We argue that it is important to raise awareness regarding the occurrence of such “paradoxical awareness” and hope that this increased recognition will help to improve the practices for coma patient care, also in other countries. Moreover, such individual case studies are vital for advancing the knowledge about the brain conditions under which it is possible to be aware – a largely neglected field of research that may have further important implications, for instance, in the context of organ donation.

Cases of terminal lucidity (TL) in children have recently been documented in contemporary literature, yet no studies have examined the impact on caregivers of witnessing TL in children. Using an online survey, this study assessed the impact of witnessing TL in children on seven caregivers who described a total of 11 cases of TL in children. Findings revealed that witnessing TL in children was considered a spiritual experience that influenced caregivers’ belief systems. All caregivers had disclosed what they had witnessed to others, resulting in a mixture of skeptical and accepting reactions. Findings suggest witnessing TL in children may initiate a spiritual transformation that has similar implications for enhancing end-of-life care and creating ‘space’ for TL to be perceived as a natural part of the dying process in terminally ill children.

The sporadic occurrence of unusually enhanced mental clarity before death has been documented over time and cultures, and reported in patients with and without neurodegenerative diseases, psychiatric disorders, and other neurocognitive deficits, as well as those with nonterminal and terminal conditions. Using a purposive sampling method via existing professional networks, clinical presentations of terminal lucidity in pediatric populations, as witnessed by pediatric oncologists and medical personnel, were solicited. We document clinical presentations suggestive of terminal lucidity in children, which were compiled by their attending physician at two large tertiary pediatric hospitals. Unanticipated and unexplained changes in mental clarity, verbal communication, and/or physical capability in the days and hours before the death of the pediatric patients were observed. Each patient's medical condition should not have allowed for such changes. The phenomenon known as terminal lucidity provides a conceptual framework for these deviations, although more systematic documentation and clinical research is required before definitive conclusions can be drawn.

Unexpected cognitive lucidity and communication in patients with severe dementias, especially around the time of death, have been observed and reported anecdotally. Here, we review what is known about this phenomenon, related phenomena that provide insight into potential mechanisms, ethical implications, and methodologic considerations for systematic investigation. We conclude that paradoxical lucidity, if systematically confirmed, challenges current assumptions and highlights the possibility of network-level return of cognitive function in cases of severe dementias, which can provide insight into both underlying neurobiology and future therapeutic possibilities.