Deathbed Phenomena
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Deathbed phenomena refers to a range of experiences reported by people who are
dying Dying is the final stage of life which will eventually lead to death. Diagnosing dying is a complex process of clinical decision-making, and most practice checklists facilitating this diagnosis are based on cancer diagnoses. Signs of dying ...
. There are many examples of deathbed phenomena in both non-fiction and fictional literature, which suggests that these occurrences have been noted by cultures around the world for centuries, although scientific study of them is relatively recent. In scientific literature such experiences have been referred to as death-related sensory experiences (DRSE). Dying patients have reported to staff working in
hospice Hospice care is a type of health care that focuses on the palliation of a terminally ill patient's pain and symptoms and attending to their emotional and spiritual needs at the end of life. Hospice care prioritizes comfort and quality of life by ...
s they have experienced comforting visions. Modern scientists consider deathbed phenomena and visions to be
hallucination A hallucination is a perception in the absence of an external stimulus that has the qualities of a real perception. Hallucinations are vivid, substantial, and are perceived to be located in external objective space. Hallucination is a combinatio ...
s. Hines, Terence (2003). ''Pseudoscience and the Paranormal''. Prometheus Books. p. 102.


Deathbed visions

Deathbed visions have been described since ancient times. However, the first systematic study was not conducted until the 20th century.Blom, Jan. (2009). ''A Dictionary of Hallucinations''. Springer. pp. 131-132. They have also been referred to as veridical hallucinations, visions of the dying and predeath visions. The physician William Barrett, author of the book ''Death-Bed Visions'' (1926), collected anecdotes of people who had claimed to have experienced visions of deceased friends and relatives, the sound of music and other deathbed phenomena. Barrett was a Christian
spiritualist Spiritualism is the metaphysical school of thought opposing physicalism and also is the category of all spiritual beliefs/views (in monism and dualism) from ancient to modern. In the long nineteenth century The ''long nineteenth century'' i ...
and believed the visions were evidence for spirit communication. In a study conducted between 1959 and 1973 by the parapsychologists
Karlis Osis Karlis Osis (26 December 1917 – 26 December 1997) was a Latvian-born parapsychologist who specialised in exploring deathbed phenomena and life after death. Biography Karlis' first research, conducted in the 1940s, was inspired by the wo ...
and Erlendur Haraldsson, they reported that 50% of the tens of thousands of individuals they studied in the
United States The United States of America (U.S.A. or USA), commonly known as the United States (U.S. or US) or America, is a country primarily located in North America. It consists of 50 states, a federal district, five major unincorporated territorie ...
and
India India, officially the Republic of India (Hindi: ), is a country in South Asia. It is the seventh-largest country by area, the second-most populous country, and the most populous democracy in the world. Bounded by the Indian Ocean on the so ...
had experienced deathbed visions. Osis, Haraldsson and other parapsychologists such as
Raymond Moody Raymond A. Moody Jr. (born June 30, 1944) is an American philosopher, psychiatrist, physician and author, most widely known for his books about afterlife and near-death experiences (NDE), a term that he coined in 1975 in his best-selling book '' ...
have interpreted the reports as evidence for an
afterlife The afterlife (also referred to as life after death) is a purported existence in which the essential part of an individual's identity or their stream of consciousness continues to live after the death of their physical body. The surviving ess ...
. The neurologist
Terence Hines Terence Hines (born 22 March 1951) is a professor of psychology at Pace University, New York, and adjunct professor of neurology at the New York Medical College; he is also a science writer. Hines has a BA from Duke University, and an MA and P ...
has written that the proponents of the afterlife interpretation grossly underestimate the variability among the reports. Hines also criticized their methodology of collecting the reports: The skeptical investigator
Joe Nickell Joe Nickell (born December 1, 1944) is an American skeptic and investigator of the paranormal. Nickell is senior research fellow for the Committee for Skeptical Inquiry and writes regularly for their journal, ''Skeptical Inquirer''. He is als ...
has written deathbed visions (DBVs) are based on anecdotal accounts that are unreliable. In not reviewing the entire context of accounts he believed he had discovered contradictions and inconsistencies in various DBVs reported by the paranormal author Carla Wills-Brandon. Research within the Hospice & Palliative Care fields have studied the impact of deathbed phenomena (DBP) on the dying, their families, and palliative staff. In 2009, a questionnaire was distributed to 111 staff in an Irish hospice program asking if they had encountered staff or patients who had experienced DBP. The majority of respondents that they had been informed of a deathbed vision by a patient or the patient's family. They reported that the content of these visions often seemed to be comforting to the patient and their family. Another study found that DBPs are commonly associated with peaceful death and are generally under-reported by patients and families due to fear of embarrassment and disbelief from medical staff. In response to this qualitative data, there is a growing movement within the palliative care field that emphasizes "compassionate understanding and respect from those who provide end of life care" in regards to DBPs. According to DRSE researchers, such as
Peter Fenwick (neuropsychologist) Peter Brooke Cadogan Fenwick (born 25 May 1935) is a neuropsychiatrist and neurophysiologist who is known for his studies of epilepsy and end-of-life phenomena. Education Fenwick is a graduate of Trinity College, Cambridge, where he studied Na ...
, the common experiences include; a visual or auditory vision of (usually deceased) loved ones (most commonly parents), visions of a brightly colored 'afterlife' realm (usually a garden), a vision of light (often personified as important spiritual figures in the dying patient's spiritual or religious beliefs), and a 'letting go' of one's personal attachments, and personal identity (ego) as a whole, termed
ego death Ego death is a "complete loss of subjective self-identity". The term is used in various intertwined contexts, with related meanings. Jungian psychology uses the synonymous term psychic death, referring to a fundamental transformation of the psych ...
in some
psychedelic Psychedelics are a subclass of hallucinogenic drugs whose primary effect is to trigger non-ordinary states of consciousness (known as psychedelic experiences or "trips").Pollan, Michael (2018). ''How to Change Your Mind: What the New Science of ...
communities<19>. Along with these personal experiences from the dying themselves, occasionally loved ones and hospice nurses experience similar things as well, termed 'Deathbed coincidences by researchers such as the aforementioned
Peter Fenwick (neuropsychologist) Peter Brooke Cadogan Fenwick (born 25 May 1935) is a neuropsychiatrist and neurophysiologist who is known for his studies of epilepsy and end-of-life phenomena. Education Fenwick is a graduate of Trinity College, Cambridge, where he studied Na ...
. Included in this wide branch of interpersonal death-related phenomena includes; alleged knowledge of one's passing through a 'visitation' before being told by others (often with the experiencer across a large distance from the dying individual and supposedly having no prior knowledge of the individual's condition or death), experiences of light protruding from the patient's body (often interpreted as a soul) and 'heavenly music' coinciding with the patient's death. Along with this comes an experience known in parapsychology as 'Shared Death Experiences', an experience in which a bystander, a friend, relative, nurse or other have an experience that is similar to a
Near Death Experience A near-death experience (NDE) is a profound personal experience associated with death or impending death which researchers claim share similar characteristics. When positive, such experiences may encompass a variety of sensations including detac ...
, but from the perspective of accompanying the dying individual. Some parapsychologists
Raymond Moody Raymond A. Moody Jr. (born June 30, 1944) is an American philosopher, psychiatrist, physician and author, most widely known for his books about afterlife and near-death experiences (NDE), a term that he coined in 1975 in his best-selling book '' ...
,
Peter Fenwick (neuropsychologist) Peter Brooke Cadogan Fenwick (born 25 May 1935) is a neuropsychiatrist and neurophysiologist who is known for his studies of epilepsy and end-of-life phenomena. Education Fenwick is a graduate of Trinity College, Cambridge, where he studied Na ...
, William Peters (Head of Shared Crossing Research Initiative), have interpreted these reports as evidence for an afterlife, pointing out there similarities to
near death experiences A near-death experience (NDE) is a profound personal experience associated with death or impending death which researchers claim share similar characteristics. When positive, such experiences may encompass a variety of sensations including detac ...
. Limited skepticism has come to these claims so far, except from the psychological truism arguments from
Joe Nickell Joe Nickell (born December 1, 1944) is an American skeptic and investigator of the paranormal. Nickell is senior research fellow for the Committee for Skeptical Inquiry and writes regularly for their journal, ''Skeptical Inquirer''. He is als ...
and philosopher Keith Augustine. As of yet, there remains very few research projects into these shared DRSE phenomena, and thus neither the paranormal 'afterlife' nor the neurobiological or psychological approaches can be supported.


Terminal lucidity

Sometimes, people with severe mental impairments, usually victims of neurodegenerative diseases, recover their cognitive functions shortly before death.


Scientific evaluation

According to Ronald K. Siegel, noted American psychopharmacologist and researcher, there is a high degree of similarity between deathbed visions and drug-induced hallucinations. Hallucinations caused by drugs frequently contain images of otherworldly beings and deceased friends and relatives. Some scientists who have studied cases of deathbed phenomena have described the visual, auditory, and sensed presences of deceased relatives or angelic beings during the dying process as hallucinations. These hallucinations are theorized to occur due to a number of explanations including but not limited to
cerebral hypoxia Cerebral hypoxia is a form of hypoxia (reduced supply of oxygen), specifically involving the brain; when the brain is completely deprived of oxygen, it is called ''cerebral anoxia''. There are four categories of cerebral hypoxia; they are, in o ...
, confusion,
delirium Delirium (also known as acute confusional state) is an organically caused decline from a previous baseline of mental function that develops over a short period of time, typically hours to days. Delirium is a syndrome encompassing disturbances in ...
, body systems failures (e.g., renal, hepatic, pulmonary), and a mental reaction to stress. When the brain does not have adequate blood flow, as is the case when someone suffers from cardiac arrest, the brain is deprived of oxygen. A short period of cerebral hypoxia can result in the impairment of neuronal function. It is theorized that this neuronal impairment accounts for deathbed visions.


See also

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Deathbed confession A deathbed confession is an admittance or confession when someone is nearing death, or on their "death bed". This confession may help alleviate any guilt, regrets, secrets, or sins the dying person may have had in their life. These confessions can ...
*
Deathbed conversion A deathbed conversion is the adoption of a particular religious faith shortly before dying. Making a conversion on one's deathbed may reflect an immediate change of belief, a desire to formalize longer-term beliefs, or a desire to complete a ...


References

{{Parapsychology Afterlife Death Near-death experiences Paranormal terminology Parapsychology