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Vollständige Literaturliste 1.013 Einträge
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In recent years, there has been a renewed interest in the conceptual and empirical study of altered states of consciousness (ASCs) induced pharmacologically or otherwise, driven by their potential clinical applications. To draw attention to the rich history of research in this domain, we review prominent classification schemes that have been proposed to introduce systematicity in the scientific study of ASCs. The reviewed ASC classification schemes fall into three groups according to the criteria they use for categorization: (1) based on the nature, variety, and intensity of subjective experiences (state-based), including conceptual descriptions and psychometric assessments, (2) based on the technique of induction (method-based), and (3) descriptions of neurophysiological mechanisms of ASCs (neuro/physio-based). By comparing and extending existing classification schemes, we can enhance efforts to identify neural correlates of consciousness, particularly when examining mechanisms of ASC induction and the resulting subjective experience. Furthermore, an overview of what defining ASC characteristics different authors have proposed can inform future research in the conceptualization and quantification of ASC subjective effects, including the identification of those that might be relevant in clinical research. This review concludes by clustering the concepts from the state-based schemes, which are suggested for classifying ASC experiences. The resulting clusters can inspire future approaches to formulate and quantify the core phenomenology of ASC experiences to assist in basic and clinical research.
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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.
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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.
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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.
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