Deathbed phenomena explained

Deathbed phenomena refers to a range of experiences reported by people who are dying.[1] [2] 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).[3] Dying patients have reported to staff working in hospices they have experienced comforting visions.[4] [5] [6]

Modern scientists consider deathbed phenomena and visions to be hallucinations.[7] [8] [9]

Deathbed visions

Deathbed visions have been described since ancient times. However, the first systematic study was not conducted until the 20th century.[10] They have also been referred to as veridical hallucinations, visions of the dying and predeath visions.[3] 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.[11] Barrett was a Christian spiritualist and believed the visions were evidence for spirit communication.[12] William's study was also based on his wife, Florence's observations of dying mothers.[13]

In a study conducted between 1959 and 1973 by the parapsychologists Karlis Osis and Erlendur Haraldsson, they reported that 50% of the tens of thousands of individuals they studied in the United States and India had experienced deathbed visions.[10] Osis, Haraldsson and other parapsychologists such as Raymond Moody have interpreted the reports as evidence for an afterlife.[14] [15]

The neurologist Terence Hines 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 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.[16]

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.[17] 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.[18]

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.[19]

According to DRSE researchers, such as Peter Fenwick, the common experiences include; a visual or auditory vision of (usually deceased) loved ones (most commonly parents followed by friends and relatives and pets),[20] [21] 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 in some psychedelic communities. Witnessed figures (visions) may include recently deceased ones that patients and their families are not aware of their deaths prior to the phenomena.[22]

Patients to experience such phenomena may not be restricted to particularly religious people.[23] Although deathbed phenomena does not guarantee peaceful deaths upon patients, their experiences are mostly calming.[24]

Dying animals (pets) may also display similar reactions to unseeable beings.[25]

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. 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, but from the perspective of accompanying the dying individual.[26] [27]

Some parapsychologists, including Raymond Moody, Peter Fenwick, and William Peters (Head of Shared Crossing Research Initiative), have interpreted these reports as evidence for an afterlife, pointing out similarities to near-death experiences. Limited skepticism has come to these claims so far, except from the psychological truism arguments from Joe Nickell 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.

Notable individuals who might or might not have experienced such phenomena include Steve Jobs,[28] Johnny Cash's brother Jack, and William Wordsworth.[29] One of reports regards Empress Dowager Cixi's passing noted a "ghost" appeared in a dream of the empress and tempted her to an afterlife.[30]

Terminal lucidity

See main article: Terminal lucidity. Sometimes, people with severe mental impairments, usually victims of neurodegenerative diseases, recover their cognitive functions shortly before death.[31]

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.[7] 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, confusion, delirium, body systems failures (e.g., renal, hepatic, pulmonary), and a mental reaction to stress.[32]

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.[33] [34] [35]

See also

Notes and References

  1. Web site: Fenwick . Peter . Dying: a spiritual experience as shown by Near Death Experiences and Deathbed Visions . Dying: a spiritual experience as shown by Near Death Experiences and Deathbed Visions . Royal College of Psychiatrists . 20 August 2022.
  2. Shared Death Experiences: A Little-Known Type of End-of-Life Phenomena Reported by Caregivers and Loved Ones . American Journal of Hospice and Palliative Medicine . 2021 . 38 . 12 . 1479–1487 . Shared Crossing Research Initiative . 10.1177/10499091211000045 . 33813876 . 20 August 2022. Shared Crossing Research Initiative (SCRI) . 233027619 .
  3. Ethier . A . 2005 . Death-related sensory experiences . Journal of Pediatric Oncology Nursing . 22 . 2. 104–111 . 10.1177/1043454204273735. 15695352 . 53763992 .
  4. Brayne . S . Farnham . C . Fenwick . P . 2006 . Deathbed phenomena and their effect on a palliative care team: a pilot study . American Journal of Hospice and Palliative Medicine . 23 . 1. 17–24 . 16450659 . 10.1177/104990910602300104. 31182022 .
  5. Lawrence . M . Repede . E . 2013 . The incidence of deathbed communications and their impact on the dying process . American Journal of Hospice and Palliative Care . 30 . 7. 632–639 . 23236088 . 10.1177/1049909112467529. 21926304 .
  6. Web site: Deathbed Visions: A Profound Source Of Meaning And Comfort For The Dying . 1-800-Hospice . 25 May 2017. 2024-04-22.
  7. Siegel . Ronald . Ronald K. Siegel . 1980 . The Psychology of Life after Death . American Psychologist . 35 . 10. 911–931 . 10.1037/0003-066x.35.10.911. 7436117 .
  8. Houran, J. & Lange, R. (1997). Hallucinations that comfort: contextual mediation of deathbed visions. Perceptual and Motor Skills 84: 1491-1504.
  9. [Terence Hines|Hines, Terence]
  10. Blom, Jan. (2009). A Dictionary of Hallucinations. Springer. pp. 131-132.
  11. [William F. Barrett|Barrett, William]
  12. Oppenheim, Janet. (1985). The Other World: Spiritualism and Psychical Research in England, 1850-1914. Cambridge University Press. p. 365.
  13. Web site: Deathbed Visions Research . Psi Encyclopedia . 2017-05-22 . 2024-04-22.
  14. [Raymond Moody|Moody, Raymond]
  15. Osis, K. and Haraldsson, E. (1977). At The Hour of Death. Avon.
  16. [Joe Nickell|Nickell, Joe]
  17. MacConville U, McQuillan, R. Surveying deathbed phenomena. Irish Medical Times. 2010, May 6.
  18. Fenwick P, Lovelace H, Brayne S. Comfort for the dying: five year retrospective and one year prospective studies of end of life experiences. Arch of Gerontology & Geriatrics. 2010;51:173-179.
  19. Fenwick P, Brayne S. End-of-life experiences: Reaching out for compassion, communication, and connection – meaning of deathbed visions and coincidences. Am J of Hospice & Pall Med. 2011;28(1):7-15.
  20. Web site: Greyson . Bruce . Seeing Dead People Not Known to Have Died: "Peak in Darien" Experiences . ResearchGate . 20 August 2022.
  21. Web site: Near Death Experiences: Will Our Dogs be Waiting For us? . The Bark . 2020-08-01 . https://web.archive.org/web/20201126013409/https://thebark.com/content/near-death-experiences-will-our-dogs-be-waiting-us . 2024-04-22. 2020-11-26 .
  22. Web site: Dying: a spiritual experience as shown by Near Death Experiences and Deathbed Visions . Royal College of Psychiatrists . 2004 . 2 . 2024-04-22.
  23. Web site: End-of-Life Dreams . Commonweal. 2023-04-23 . 2024-04-22.
  24. Web site: Going into the light . . 2011-03-22 . 2024-04-22.
  25. Web site: Snowy's Experience . Out of Body Research Foundation . 2004 . 2024-04-22.
  26. Fenwick, Peter. "Dying: a spiritual experience as shown by Near Death Experiences and Deathbed Visions" (PDF). Royal College of Psychiatrists. Retrieved on 20 August 2022.
  27. "Shared Death Experiences: A Little-Known Type of End-of-Life Phenomena Reported by Caregivers and Loved Ones". American Journal of Hospice and Palliative Medicine. Shared Crossing Research Initiative. Retrieved on 20 August 2022.
  28. Web site: Did Steve Jobs Have a Death-Bed Vision? . The Daily Grail . 2011-11-01 . 2024-04-22.
  29. Web site: Far side famous people who saw visions of what awaited them . . 2013-03-16 . 2024-04-22.
  30. News: . 1908-11-20 . Dowager Empress Died of Apoplexy . . 2024-04-22.
  31. M.Nahm, "Terminal Lucidity in Patients with Chronic Schizophrenia and Dementia - a Survey of the Literature" in "Issues in Neurology Research and Practice, 2011 Edition"
  32. Brayne S, Lovelace H, Fenwick P. End-of-life experiences and the dying process in a Gloucestershire nursing home as reported by nurses and care assistants. Am J of Hospice & Pall Med. 2008;25(3):195-206.
  33. Brierley, J. and D. Graham. (1984). Hypoxia and Vascular Disorders of the Central Nervous System. In Greenfield’s Neuropathology edited by J. Adams, J. Corsellis, and L. Duchen. 4th edition. New York: Wiley. pp. 125–207.
  34. [Chris French|French, Chis]
  35. Web site: Scientists discover what happens to the brain as you die . .